Provider Demographics
NPI:1275518607
Name:MARTINEZ, ARISTIDES A (MD)
Entity Type:Individual
Prefix:
First Name:ARISTIDES
Middle Name:A
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:PO BOX 8623
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33482-8623
Mailing Address - Country:US
Mailing Address - Phone:561-819-5447
Mailing Address - Fax:561-819-5496
Practice Address - Street 1:5258 LINTON BLVD STE 301
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6539
Practice Address - Country:US
Practice Address - Phone:561-819-5447
Practice Address - Fax:561-819-5496
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88141207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL81298Medicare ID - Type Unspecified
H38919Medicare UPIN