Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | ME113425 | FL |
NPI | 1114159019 |
---|---|
Provider Name | Dr. Joel Jose Martinez Ramirez |
First Address | Little Rock, AR 72205-5484 |
Second Address | Little Rock, AR 72205-5484 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2009 |
Last Update Date | 01/04/2020 |