Provider Demographics
NPI:1356696223
Name:MARTINEZ, JULIO (DPT)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8603 S DIXIE HWY
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7807
Mailing Address - Country:US
Mailing Address - Phone:305-661-1441
Mailing Address - Fax:305-661-1443
Practice Address - Street 1:8603 S DIXIE HWY
Practice Address - Street 2:SUITE 308
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7807
Practice Address - Country:US
Practice Address - Phone:305-661-1441
Practice Address - Fax:305-661-1443
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27443225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGW591ZMedicare UPIN