Provider Demographics
NPI:1437587896
Name:MANUEL MARTORELL M.D.P.A.
Entity Type:Organization
Organization Name:MANUEL MARTORELL M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:MARTORELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-799-0082
Mailing Address - Street 1:508 VIA TOLEDO
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1728
Mailing Address - Country:US
Mailing Address - Phone:561-799-0082
Mailing Address - Fax:561-799-0082
Practice Address - Street 1:508 VIA TOLEDO
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-1728
Practice Address - Country:US
Practice Address - Phone:561-799-0082
Practice Address - Fax:561-799-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME789942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty