| Mr Edouard Rene Martin, MD | |
|
2951 Nw 49th Ave., Suite #101, Lauderdale Lakes, FL 33313 | |
| (954) 739-2511 | |
| (954) 739-9239 |
| Full Name | Mr Edouard Rene Martin |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 43 Years |
| Location | 2951 Nw 49th Ave., Lauderdale Lakes, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831182880 | NPI | - | NPPES |
| 056913500 | Medicaid | FL | |
| 12490 | Other | FL | BCBS |
| 205874 | Other | FL | AV MED |
| 1000619 | Other | FL | CAREPLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | ME59266 (Florida) | Primary |
| 207R00000X | Internal Medicine | ME59266 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Florida Kidney Center | Lauderhill, FL | Dialysis facility |
| Fmc Dialysis Services - Ft Lauderdale | Ft. lauderdale, FL | Dialysis facility |
| Fmc - Tamarac | Tamarac, FL | Dialysis facility |
| Fmc - South Florida Home Therapies | Sunrise, FL | Dialysis facility |
| Westside Regional Medical Center | Plantation, FL | Hospital |
| Broward Health Medical Center | Fort lauderdale, FL | Hospital |
| North Shore Medical Center | Miami, FL | Hospital |
| University Hospital And Medical Center | Tamarac, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Florida Nephrology Associates P A | 5294702791 | 2 |
| Entity Name | South Florida Nephrology Associates P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538253778 PECOS PAC ID: 5294702791 Enrollment ID: O20040914000817 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edouard Rene Martin, MD 2951 Nw 49th Ave., #101, Lauderdale Lakes, FL 33313 Ph: (954) 739-2511 | Mr Edouard Rene Martin, MD 2951 Nw 49th Ave., Suite #101, Lauderdale Lakes, FL 33313 Ph: (954) 739-2511 |
Dr. Jaskaran Kaur Purewal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 305-928-7249 Fax: 305-630-3632 | |
Johana Elizabeth Marti Pineda, APRN Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4900 W Oakland Park Blvd Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-735-7550 | |
Dr. Vanessa Monique Mitchell, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3487 Nw 30th St, Lauderdale Lakes, FL 33311 Phone: 872-231-3162 | |
Mr. Diego Echeverri, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2951 Nw 49th Ave., Suite #101, Lauderdale Lakes, FL 33313 Phone: 954-739-2511 Fax: 954-739-9239 | |
Mr. Dario Sebastian Borja Flores, MD Nephrology Medicare: Medicare Enrolled Practice Location: 2589 N State Road 7, Lauderdale Lakes, FL 33313 Phone: 954-714-1264 Fax: 954-320-7142 | |
Daniel Melman, MD Nephrology Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000 | |
Regina B Portnova, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2951 Nw 49th Ave, Suite 201, Lauderdale Lakes, FL 33313 Phone: 945-486-5700 Fax: 954-484-2574 |