MEDICARE: SUSANA MARTINEZ

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
1	106S00000X	Behavior Technician	RBT-20-111874	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669049516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANA MARTINEZ

Provider Business Mailing Address
First Line	:	1921 N 62ND AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4242
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 N 62ND AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4242
Country	:	US
Telephone Number	:	754-234-2475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	07/30/2023

Similar Medicare Providers

1104549658 — RAUL BARRIOS
Practice Location Address:

6320 HARDING ST
HOLLYWOOD, FL
33024-4103

Practice Phone: 305-560-8239
Practice Fax:

1528914769 — YEIMY MAILEN GARCIA NIETO
Practice Location Address:

920 N 68TH TER APT B16
HOLLYWOOD, FL
33024-5743

Practice Phone: 786-260-3136
Practice Fax:

1376499467 — KELVIN LANTIGUA, DMD, PA
Practice Location Address:

7076 TAFT ST
HOLLYWOOD, FL
33024-3860

Practice Phone: 954-964-1494
Practice Fax: 954-964-5195

1285598680 — ANASTASIIA GRYBOVA APRN
Practice Location Address:

7369 SHERIDAN ST STE 203
HOLLYWOOD, FL
33024-2776

Practice Phone: 954-983-5330
Practice Fax: 954-983-5086

1831058551 — MDESARMES LLC
Practice Location Address:

6565 TAFT ST STE 300
HOLLYWOOD, FL
33024-4044

Practice Phone: 561-576-3074
Practice Fax: 561-557-7380

1952258543 — IDARMIS MIYARES ROMERO FNP-C
Practice Location Address:

7400 BUCHANAN ST
HOLLYWOOD, FL
33024-7106

Practice Phone: 786-715-1244
Practice Fax:

Directions to “ SUSANA MARTINEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.