Individual
IRENE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6850 CORAL WAY, SUITE 203, MIAMI, FL 33155
(305) 859-9503
Mailing address
2364 SW 26 ST, MIAMI, FL 33133
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 002577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29558
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/29/2006
Last updated
07/08/2007
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