Provider Demographics
NPI:1508264078
Name:MARTINEZ, AIDA ROSA (PA)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:ROSA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2600 S DOUGLAS RD
Mailing Address - Street 2:STE 308
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6134
Mailing Address - Country:US
Mailing Address - Phone:305-648-1087
Mailing Address - Fax:305-648-1088
Practice Address - Street 1:2601 SW 37TH AVE
Practice Address - Street 2:SUITE 702
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2700
Practice Address - Country:US
Practice Address - Phone:305-648-1087
Practice Address - Fax:305-648-1088
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2018-06-11
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Provider Licenses
StateLicense IDTaxonomies
FLPA9108198363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical