Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME92227 | FL |
N | 111NI0900X | Internist | ME92227 | FL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME92227 | FL |
NPI | 1124053061 |
---|---|
Provider Name | Jose A Martel |
First Address | South Miami, FL 33143-4828 |
Second Address | South Miami, FL 33143-4828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 09/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2724332-00 | (05) | FL |
I32636 | (02) |