Provider Demographics
NPI:1568896629
Name:MARTINEZ-PEREZ, RAUL ALEJANDRO (MD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:ALEJANDRO
Last Name:MARTINEZ-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAUL
Other - Middle Name:ALEJANDRO
Other - Last Name:MARTINEZ PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:137 S COMPASS WAY
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-2369
Practice Address - Country:US
Practice Address - Phone:954-962-9811
Practice Address - Fax:844-893-4844
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME117775207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine