Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN DE JESUS MARTINEZ I, L.M.T.
Active Sole ProprietorIVAN DE JESUS MARTINEZ I, L.M.T. is a Health Maintenance Organization healthcare provider located in HIALEAH, Florida. NPI 1629322649 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · HIALEAH, FL
Registration Details
- NPI Number
- 1629322649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2012 (13.826272017034 yrs)
- Last Updated
- Oct 29, 2012
- License
-
MA45836 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8917 NW 178TH STHIALEAH, FL, 330186554Browse FL providers · Browse ZIP 33018
- Phone
- 7863489601
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.