Healthcare Provider Details

I. General information

NPI: 1902508641
Provider Name (Legal Business Name): ABNERIS LIANY RIVERA MARTINEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36763 EILAND BLVD STE 102
ZEPHYRHILLS FL
33542-0600
US

IV. Provider business mailing address

38135 MARKET SQUARE DR
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-778-0454
  • Fax: 813-377-1699
Mailing address:
  • Phone: 352-567-0188
  • Fax: 813-355-5101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME179459
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: