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NPI Code Detail

MEDICARE: DR. JOSE MANUEL MARTINEZ MD

MEDICARE: DR. JOSE MANUEL MARTINEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianME54954FL
2207RI0011XInterventional Cardiology PhysicianME54954FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912931312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE MANUEL MARTINEZ MD
Provider Business Mailing Address
First Line : PO BOX 566480
Second Line :
City : MIAMI
State : FL
Zip : 33256-6480
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12494 SW 127TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-6597
Country : US
Telephone Number : 786-527-9172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 01/15/2021

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