Martinez, Santiago

Martinez, Santiago is an sole proprietor health care provider with primary practice located at 12315 Lake Underhill Rd Ste A , Orlando FL 32828-4507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Martinez, Santiago can be contacted via phone (407) 203-2301.

Contact Information

Primary practice address
12315 Lake Underhill Rd Ste A Orlando FL 32828-4507
Phone: (407) 203-2301
Fax: (407) 203-2315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME57308 Florida

Profile Details

NPI number 1760405203
LBN Legal business name Martinez, Santiago
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Mar 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760405203 NPPES
Florida MEDICAID 374779400

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