Individual
PEDRO P MARTINEZ RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8356 SW 40TH ST STE L, MIAMI, FL 33155-3356
(786) 870-9418
Mailing address
5411 W 5TH AVE, HIALEAH, FL 33012-2537
(786) 870-9418
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9521286
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11018377
FL
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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