Healthcare Provider Details

I. General information

NPI: 1306778816
Provider Name (Legal Business Name): DIAMNYS MARTINEZ HURTADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 NW 162ND ST
OPA LOCKA FL
33054-6540
US

IV. Provider business mailing address

2330 NW 162ND ST
OPA LOCKA FL
33054-6540
US

V. Phone/Fax

Practice location:
  • Phone: 786-609-4265
  • Fax:
Mailing address:
  • Phone: 786-609-4265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9497017
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: