Provider Demographics
NPI:1790917011
Name:ALDO H MARTINEZ FLEITES MD PA
Entity Type:Organization
Organization Name:ALDO H MARTINEZ FLEITES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADLO
Authorized Official - Middle Name:H
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-279-8187
Mailing Address - Street 1:8532 NW 168TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6162
Mailing Address - Country:US
Mailing Address - Phone:305-456-5621
Mailing Address - Fax:305-275-7066
Practice Address - Street 1:8532 NW 168TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-6162
Practice Address - Country:US
Practice Address - Phone:305-456-5621
Practice Address - Fax:305-275-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103151207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME103151OtherMEDICAL LICENSE