Healthcare Provider Details

I. General information

NPI: 1871412171
Provider Name (Legal Business Name): MACARENA MARTINEZ REY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16348 COUNTRY LAKE CIR
DELRAY BEACH FL
33484-6609
US

IV. Provider business mailing address

16348 COUNTRY LAKE CIR
DELRAY BEACH FL
33484-6609
US

V. Phone/Fax

Practice location:
  • Phone: 786-558-3044
  • Fax:
Mailing address:
  • Phone: 786-558-3044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: