| Doctor Name: | DR. JOSE JAIME MARTELL CRUZ |
| NPI Number: | 1013166784 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ACN550 |
| Business Practice Address: | 8554 Jamestown Dr Winter Haven, FL - 338844835 |
| Business Phone Number: | 7872177077 |
| Business Fax Number: | |
| Mailing Address: | 8554 Jamestown Dr, WINTER HAVEN |
| State: | FL |
| Postal Code: | 338844835 |
| Phone Number: | 7872177077 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2008 |
| NPI Last Update Date: | 05/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | ACN550 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |