Individual
CARLOS MIGUEL MARTINEZ COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1072 W 64TH ST, HIALEAH, FL 33012-6417
(786) 630-3894
(786) 534-4540
Mailing address
1072 W 64TH ST, HIALEAH, FL 33012-6417
(786) 630-3894
(786) 534-4540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11022982
FL
Other
Enumeration date
11/10/2022
Last updated
08/01/2025
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