Healthcare Provider Details

I. General information

NPI: 1245159318
Provider Name (Legal Business Name): LUZ DANIELA MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CROSSING DR APT 203
CUMBERLAND RI
02864-4372
US

IV. Provider business mailing address

160 CROSSING DR APT 203
CUMBERLAND RI
02864-4372
US

V. Phone/Fax

Practice location:
  • Phone: 401-919-0839
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: