Healthcare Provider Details

I. General information

NPI: 1750962759
Provider Name (Legal Business Name): VERONICA DEL ROCIO MARTINEZ RIVERA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 W SAINT ISABEL ST
TAMPA FL
33607-6324
US

IV. Provider business mailing address

2701 W SAINT ISABEL ST
TAMPA FL
33607-6324
US

V. Phone/Fax

Practice location:
  • Phone: 813-876-9961
  • Fax: 813-877-9680
Mailing address:
  • Phone: 813-876-9961
  • Fax: 813-877-9680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP20090516
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME184489
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: