Provider Demographics
NPI:1194827600
Name:MARTINEZ, HECTOR YOSUE (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:YOSUE
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2577 SIMPSON RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4642
Mailing Address - Country:US
Mailing Address - Phone:407-348-8338
Mailing Address - Fax:407-348-1709
Practice Address - Street 1:2577 SIMPSON RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4642
Practice Address - Country:US
Practice Address - Phone:407-348-8338
Practice Address - Fax:407-348-1709
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCI 487101Y00000X
PR019308208D00000X
FLACN844208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018894400Medicaid
FLACN844OtherMEDICAL LICENSE
FLACN844OtherSTATE LICENSE
FLACN844OtherMEDICAL LICENSE