Individual
VIVIANA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1609 E VINE ST, KISSIMMEE, FL 34744-3733
(407) 847-4152
(407) 847-0700
Mailing address
215 HORSTFIELD DR, WINTER GARDEN, FL 34787-6068
(407) 414-0159
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
29532
PR
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
02/24/2010
Last updated
09/07/2023
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