| Doctor Name: | ALFONSO ENRIQUE MARTINEZ |
| NPI Number: | 1013192798 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 16987 |
| Business Practice Address: | 22066 Se 71st Ave Hawthorne, FL - 326403969 |
| Business Phone Number: | 3524812700 |
| Business Fax Number: | 3524812392 |
| Mailing Address: | 1302 River St, PALATKA |
| State: | FL |
| Postal Code: | 321775042 |
| Phone Number: | 3863267342 |
| Fax Number: | 3863251086 |
| NPI Enumeration Date: | 12/31/2007 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16987 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |