MEDICARE: DORIS ANGELICA MARTINEZ ALBINO

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	104100000X	Social Worker	150.118198	IL

General Provider Information

NPI Number	:	1881556538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS ANGELICA MARTINEZ ALBINO

Provider Business Mailing Address
First Line	:	7068 KING CREEK DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-0218
Country	:	US
Telephone Number	:	656-252-7273
Fax Number	:

Provider Business Practice Location Address
First Line	:	7068 KING CREEK DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-0218
Country	:	US
Telephone Number	:	656-252-7273
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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