Doctor Name: | DR. GABRIEL L. MARTINEZ |
NPI Number: | 1962603340 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25, 948-R |
Business Practice Address: | 12734 Kenwood Lane Ste. 84 Ft. Myers, FL - 339075638 |
Business Phone Number: | 2399365250 |
Business Fax Number: | 2399369970 |
Mailing Address: | 12734 Kenwood Lane, Ste. 84 FT. MYERS |
State: | FL |
Postal Code: | 339075638 |
Phone Number: | 2399365250 |
Fax Number: | 2399369970 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 06/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25, 948-R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |