Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | ME97951 | FL |
N | 2086S0129X | Vascular Surgeon | ME97951 | FL |
N | 2086X0206X | Surgical Oncologist | ME97951 | FL |
NPI | 1245256072 |
---|---|
Provider Name | Dr. Hilario Martinez |
First Address | Doral, FL 33166-5478 |
Second Address | Doral, FL 33166-5478 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 26/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I00068 | (02) | NY |