Provider Demographics
NPI:1619039112
Name:MARTINEZ, PAUL-ANTONIO ABEL (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL-ANTONIO
Middle Name:ABEL
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 SABRELINE TER
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-5957
Mailing Address - Country:US
Mailing Address - Phone:561-637-4762
Mailing Address - Fax:954-924-0010
Practice Address - Street 1:801 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-3517
Practice Address - Country:US
Practice Address - Phone:954-924-0444
Practice Address - Fax:954-924-0010
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU93858Medicare UPIN
FL70151AMedicare ID - Type Unspecified