Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 17055 | PR |
Y | 207Q00000X | Family Doctor | ME127807 | FL |
N | 207Q00000X | Family Doctor | N5844 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 17055 | PR |
N | 207QG0300X | Family Doctor - Geriatric Medicine | ME127807 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | N5844 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 17055 | PR |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME127807 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | N5844 | TX |
NPI | 1689860421 |
---|---|
Provider Name | Dr. Axel E. Martinez Irizarry |
First Address | Ocala, FL 34481-9654 |
Second Address | Ocala, FL 34481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2007 |
Last Update Date | 09/08/2018 |