Healthcare Provider Details

I. General information

NPI: 1235881723
Provider Name (Legal Business Name): ARMANDO D MARTINEZ NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7490 SW 23RD ST STE 201
MIAMI FL
33155-1419
US

IV. Provider business mailing address

25335 SW 125TH CT
HOMESTEAD FL
33032-5810
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-8221
  • Fax: 786-953-7514
Mailing address:
  • Phone: 786-554-5873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11015313
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: