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MRS. JENNIFER A MARTINEZ PA NPI 1184814071


NPI Information

NPI: 1184814071
Provider Name: MRS. JENNIFER A MARTINEZ, PA
Classification: Dermatology - 207NI0002X
Entity Type: Individual

Specialization: Clinical & Laboratory Dermatological Immunology

PECOS Registration: Yes

Address:
7700 SW 104 ST
MIAMI, FL
ZIP 33156
Phone: (305) 279-7546
Get Directions

MRS. Jennifer A Martinez, PA is a clinical and laboratory dermatological immunology dermatology in Miami, FL. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. MRS. Jennifer A Martinez, PA NPI is 1184814071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7700 SW 104 ST
MIAMI, FL
ZIP 33156
Phone: (305) 279-7546
Fax: (305) 279-4180

The NPI 1184814071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 7/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyPA 9104126FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PA 9104126OTHERFLORIDALICENSE
2AK917ZMEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.