Provider Demographics
NPI:1649435041
Name:MARTINEZ ESCOBAR, BARBARA ROSA (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ROSA
Last Name:MARTINEZ ESCOBAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17900 NW 5 ST SUITE # 205
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5860
Mailing Address - Country:US
Mailing Address - Phone:954-367-3157
Mailing Address - Fax:954-374-9038
Practice Address - Street 1:17900 NW 5TH ST STE 205
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2809
Practice Address - Country:US
Practice Address - Phone:954-367-3157
Practice Address - Fax:954-374-9038
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103476207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002027300Medicaid
FLP00775064OtherRAILROAD MEDICARE
FLP00775064OtherRAILROAD MEDICARE