Provider Demographics
NPI:1760872485
Name:MARTINEZ HEALTH CARE & REHABILITATION
Entity Type:Organization
Organization Name:MARTINEZ HEALTH CARE & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUREK
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:786-395-5545
Mailing Address - Street 1:3900 NW 79 AVE
Mailing Address - Street 2:SUITE 472
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-3550
Mailing Address - Country:US
Mailing Address - Phone:786-395-5545
Mailing Address - Fax:305-503-9337
Practice Address - Street 1:3900 NW 79 AVE
Practice Address - Street 2:SUITE 472
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-3550
Practice Address - Country:US
Practice Address - Phone:786-395-5545
Practice Address - Fax:305-503-9337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center