Ballesteros, Martha

Ballesteros, Martha is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave Radiology Department, Miami FL 33155. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Ballesteros, Martha can be contacted via phone (305) 662-8392.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Radiology Department Miami FL 33155
Phone: (305) 662-8392
Fax: (305) 667-8689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 60960 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 60960 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME71982 Florida

Profile Details

NPI number 1508897216
LBN Legal business name Ballesteros, Martha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 19th, 2024 - about 6 months 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 1508897216 NPPES
Florida MEDICAID 257802600

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