# MIA DONNA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790306256
- **Authorized official:** MS. OLGA LUCIA MARTINEZ RNP (ADMINISTRATOR)
- **Authorized official phone:** (786) 223-5369

## Contact information

- **Practice address:** 7100 W 20TH AVE STE 304, HIALEAH, FL 33016-1812
- **Practice address phone:** (954) 885-5030
- **Practice address fax:** (954) 272-9026
- **Mailing address:** 3122 SW 189TH AVE, MIRAMAR, FL 33029-5857
- **Mailing address phone:** (786) 223-5369
- **Mailing address fax:** (954) 272-9026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2020
- **Last updated:** 05/06/2020