Doctor Name: | DR. ELIAS MARTINEZ |
NPI Number: | 1346342656 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 15572 |
Business Practice Address: | 7765 S. Cr 231 Lake Butler, FL - 32054 |
Business Phone Number: | 7873633790 |
Business Fax Number: | |
Mailing Address: | Po Box 628, LAKE BUTLER |
State: | FL |
Postal Code: | 32054 |
Phone Number: | 7873633790 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 08/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15572 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |