Ivan De Jesus Martinez I, L.M.T.

NPI #1629322649 in Hialeah, Florida

Provider Information

NPI Number
1629322649
Entity Type
Individual
Name
Ivan De Jesus Martinez I, L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Health Maintenance Organization
Credential
L.M.T.
Enumeration Date
Oct 29, 2012
Last Updated
Oct 29, 2012

Practice Location

Address
8917 NW 178TH ST
State
Florida
ZIP Code
33018-6554
Phone
(786) 348-9601

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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