Provider Demographics
NPI:1912633322
Name:CJE MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:CJE MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EUGENIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-206-1040
Mailing Address - Street 1:7270 NW 12TH ST STE 865A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1926
Mailing Address - Country:US
Mailing Address - Phone:786-206-1040
Mailing Address - Fax:786-496-1116
Practice Address - Street 1:7270 NW 12TH ST STE 865A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1926
Practice Address - Country:US
Practice Address - Phone:786-206-1040
Practice Address - Fax:786-496-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty