Individual
MRS. LOURDES INES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D./L.D.
Contact information
Practice address
2140 SW 21ST TER, MIAMI, FL 33145-2616
(786) 417-4099
Mailing address
2140 SW 21ST TER, MIAMI, FL 33145-2616
(786) 417-4099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1885
FL
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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