MEDICARE: ADRIAN MARTINEZ RUBIO APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11023592	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366154270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN MARTINEZ RUBIO APRN

Provider Business Mailing Address
First Line	:	3012 NW 6TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-6727
Country	:	US
Telephone Number	:	786-720-8299
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 S MACDILL AVE STE 129-300
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8171
Country	:	US
Telephone Number	:	813-441-6803
Fax Number	:	813-524-6352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2022
Last Update Date	:	02/12/2026

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