Provider Demographics
NPI:1205076486
Name:ARNALDO M MARTINEZ OD PA
Entity type:Organization
Organization Name:ARNALDO M MARTINEZ OD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-364-7499
Mailing Address - Street 1:PO BOX 827082
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33082-7082
Mailing Address - Country:US
Mailing Address - Phone:954-364-7499
Mailing Address - Fax:954-874-6238
Practice Address - Street 1:11826 MIRAMAR PKWY UNIT A
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5800
Practice Address - Country:US
Practice Address - Phone:954-364-7499
Practice Address - Fax:954-874-6238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-27
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4346152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHPYDLOtherBLUE CROSS
FL116894900Medicaid
FLBP411AMedicare PIN