Manuel Martinez-Millian, MT
Individual provider Active NPI Naturopath · Miami, FL
NPI 1871884296 · NPPES record last updated Apr 20, 2011
Key facts
- NPI
- 1871884296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- MA43915 (FL)
- Practice address
- 6614 SW 114TH PL
Unit a
Miami, FL 33173-1781 - Phone
- (305) 559-1997
- NPI assigned
- Apr 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA43915 | FL | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | MA43915 | FL | Yes |
Addresses
Primary practice location
6614 SW 114TH PL
Unit a
Miami, FL 33173-1781
Mailing address
6614 SW 114TH PL
Unit a
Miami, FL 33173-1781
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA43915 | Other | FL | LMT |
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.