Individual
DR. MARI DELMAR MARTINEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8367 LAKE WAVERLY LN, ORLANDO, FL 32829-7655
(407) 580-9653
Mailing address
8367 LAKE WAVERLY LN, ORLANDO, FL 32829-7655
(407) 580-9653
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
23307
PR
208D00000X
General Practice Physician
Primary
ACN1541
FL
390200000X
Student in an Organized Health Care Education/Training Program
16081
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
PR
Enumeration date
01/27/2022
Last updated
08/07/2023
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