Individual
DIANELYS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9060 NW 190TH ST, HIALEAH, FL 33018-6266
(305) 989-5710
Mailing address
9060 NW 190TH ST, HIALEAH, FL 33018-6266
(305) 989-5710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APN0000026459
TN
207Q00000X
Family Medicine Physician
Primary
APRN11010952
FL
Other
Enumeration date
01/21/2020
Last updated
02/09/2023
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