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NPI Code Detail

MEDICARE: JORGE DANIEL MARTINEZ DIAZ FNP-C

MEDICARE: JORGE DANIEL MARTINEZ DIAZ FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11034340FL

General Provider Information

NPI Number : 1164252268
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE DANIEL MARTINEZ DIAZ FNP-C
Provider Business Mailing Address
First Line : 1500 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3617
Country : US
Telephone Number : 954-438-4000
Fax Number : 786-791-1270
Provider Business Practice Location Address
First Line : 1500 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3617
Country : US
Telephone Number : 954-438-4000
Fax Number : 786-791-1270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2024
Last Update Date : 01/23/2026

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Directions to “ JORGE DANIEL MARTINEZ DIAZ FNP-C” Practice Location

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