Provider Demographics
NPI:1720280969
Name:MARTIN, RALPH J (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:J
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RALPH
Other - Middle Name:J
Other - Last Name:MARTIN RUAIGIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3339 TAMIAMI TRL E STE 145
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-5361
Mailing Address - Country:US
Mailing Address - Phone:239-252-5365
Mailing Address - Fax:239-896-1902
Practice Address - Street 1:3339 TAMIAMI TRL E STE 145
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-5361
Practice Address - Country:US
Practice Address - Phone:239-252-5365
Practice Address - Fax:239-896-1902
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16762207R00000X, 207UN0902X
FLME129077207UN0902X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy