Healthcare Provider Details

I. General information

NPI: 1497437909
Provider Name (Legal Business Name): DAIKEL MARTINEZ TUERO APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 10/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 W FLAGLER ST STE 1A
MIAMI FL
33144-2069
US

IV. Provider business mailing address

8260 W FLAGLER ST STE 1A
MIAMI FL
33144-2069
US

V. Phone/Fax

Practice location:
  • Phone: 786-715-9183
  • Fax: 786-713-1115
Mailing address:
  • Phone: 786-715-9183
  • Fax: 786-713-1115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11027439
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: