| Agustin Martinez M D P A | |
|
250 E 49th St Hialeah FL 33013-1855 | |
| (305) 822-6885 | |
| (305) 825-9965 |
| Full Name | Agustin Martinez M D P A |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 E 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Agustin Martinez (PHYSICIAN) |
| Authorized Official Contact | 3058226885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agustin Martinez M D P A 1324 Sw 143rd Ave Miami FL 33184-3223 Ph: (305) 822-6885 | Agustin Martinez M D P A 250 E 49th St Hialeah FL 33013-1855 Ph: (305) 822-6885 |
| NPI Number | 1992892558 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 04/16/2014 |
| Medicare PECOS PAC ID | 0840350716 |
|---|---|
| Medicare Enrollment ID | O20081121000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992892558 | NPI | - | NPPES |
| 261107400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME82266 (Florida) | Primary |
| Provider Name | Agustin Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194762427 PECOS PAC ID: 1850395401 Enrollment ID: I20081121000408 |
| Provider Name | Rachel Iraida Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134505787 PECOS PAC ID: 8022315431 Enrollment ID: I20160330001972 |
| Provider Name | Damian L Betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669139176 PECOS PAC ID: 8426436502 Enrollment ID: I20220601001949 |
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