Individual
DR. KIANFA MARTINEZ-LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7100 W 20TH AVE STE 412, HIALEAH, FL 33016-1811
(954) 322-1110
(954) 322-1099
Mailing address
13003 SW 42ND TER, MIAMI, FL 33175-4005
(786) 897-4420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME103812
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
062556
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME103812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114843200
—
FL
Enumeration date
04/06/2007
Last updated
01/24/2023
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