Healthcare Provider Details

I. General information

NPI: 1992620280
Provider Name (Legal Business Name): BRIAN MARTINEZ NAVARRO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19001 SW 106TH AVE STE C103
CUTLER BAY FL
33157-7669
US

IV. Provider business mailing address

15257 SW 56TH TER
MIAMI FL
33193-2502
US

V. Phone/Fax

Practice location:
  • Phone: 786-523-2352
  • Fax: 786-523-2352
Mailing address:
  • Phone: 305-200-7948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: