Individual
MS. NERISA EVA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
6121 LUCERNE ST, JUPITER, FL 33458-6672
(561) 262-5511
Mailing address
6121 LUCERNE ST, JUPITER, FL 33458-6672
(561) 262-5511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0012705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C9004
BLUE CROSS
FL
Enumeration date
05/21/2008
Last updated
05/21/2008
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