| Peter Martinez-noda Do Pa | |
|
7000 Sw 97th Ave Suite101 Miami FL 33173-1494 | |
| (305) 273-4454 | |
| (305) 273-4453 |
| Full Name | Peter Martinez-noda Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7000 Sw 97th Ave, Miami, Florida |
| Authorized Official Name and Position | Peter A Martinez Noda (OWNER PHYSICIAN) |
| Authorized Official Contact | 3052734454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Martinez-noda Do Pa 7000 Sw 97th Ave Suite101 Miami FL 33173-1494 Ph: (305) 273-4454 | Peter Martinez-noda Do Pa 7000 Sw 97th Ave Suite101 Miami FL 33173-1494 Ph: (305) 273-4454 |
| NPI Number | 1275579328 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 05/22/2014 |
| Medicare PECOS PAC ID | 2062424690 |
|---|---|
| Medicare Enrollment ID | O20060626000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275579328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Peter A Martinez Noda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861440935 PECOS PAC ID: 3779563184 Enrollment ID: I20040724000145 |
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