Provider Demographics
NPI:1770576068
Name:MARTINEZ-ARIZALA, ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:MARTINEZ-ARIZALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1201 NW 16TH ST
Mailing Address - Street 2:MIAMI VA MEDICAL CENTER
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1624
Mailing Address - Country:US
Mailing Address - Phone:305-575-3174
Mailing Address - Fax:305-575-3161
Practice Address - Street 1:1201 NW 16TH ST
Practice Address - Street 2:MIAMI VA MEDICAL CENTER, SCI- 128
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1624
Practice Address - Country:US
Practice Address - Phone:305-575-3174
Practice Address - Fax:305-575-3161
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2013-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 455472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF0448Medicare UPIN