Healthcare Provider Details

I. General information

NPI: 1598358160
Provider Name (Legal Business Name): ROSY LUZ MARTINEZ FERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2021
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9371 FONTAINEBLEAU BLVD APT I121
MIAMI FL
33172-5672
US

IV. Provider business mailing address

9371 FONTAINEBLEAU BLVD APT I121
MIAMI FL
33172-5672
US

V. Phone/Fax

Practice location:
  • Phone: 786-278-1181
  • Fax:
Mailing address:
  • Phone: 786-278-1181
  • Fax: 727-606-4886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11011558
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11011558
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: