Provider Demographics
NPI:1447338835
Name:ALEJANDRO J. MARTINEZ,M.D. PEDIATRICS, P.A
Entity type:Organization
Organization Name:ALEJANDRO J. MARTINEZ,M.D. PEDIATRICS, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-275-0265
Mailing Address - Street 1:11410 NORTH KENDALL DRVIE
Mailing Address - Street 2:SUITE#301
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-275-0265
Mailing Address - Fax:
Practice Address - Street 1:11410 N KENDALL DR
Practice Address - Street 2:SUITE#301
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1031
Practice Address - Country:US
Practice Address - Phone:305-275-0265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63663302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF65181Medicare UPIN