MEDICARE: ALYSSA MARTINEZ

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1487436937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA MARTINEZ

Provider Business Mailing Address
First Line	:	5000 SW 29TH WAY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3102 GRIFFIN RD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-6286
Country	:	US
Telephone Number	:	954-961-1757
Fax Number	:

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

Provider Enumeration Date	:	10/19/2023
Last Update Date	:	10/19/2023

Similar Medicare Providers

1952340721 — PUBLIX SUPER MARKETS INC
Practice Location Address:

3102 GRIFFIN RD
FORT LAUDERDALE, FL
33312-6286

Practice Phone: 954-961-1757
Practice Fax: 954-961-0975

1679810535 — SHANNON HAMMER PHARM.D.
Practice Location Address:

3102 GRIFFIN RD
FORT LAUDERDALE, FL
33312-6286

Practice Phone: 954-961-1757
Practice Fax: 954-961-0975

1952737769 — JONATHAN EASON
Practice Location Address:

3102 GRIFFIN RD
FORT LAUDERDALE, FL
33312-6286

Practice Phone: 954-961-1757
Practice Fax:

1457025926 — DR. ELIZABETH RINALDI PHARMD
Practice Location Address:

3102 GRIFFIN RD
FORT LAUDERDALE, FL
33312-6286

Practice Phone: 954-961-1757
Practice Fax:

1164419818 — DR. LAWRENCE K.C. LI M.D.
Practice Location Address:

2200 FORT JESSE RD , SUITE 250
NORMAL, IL
61761-6286

Practice Phone: 309-454-1616
Practice Fax: 309-454-5167

1144217472 — NANCY DAVIS CRNA
Practice Location Address:

2200 FORT JESSE RD , SUITE 240
NORMAL, IL
61761-6286

Practice Phone: 309-268-9300
Practice Fax: 309-268-0575

Directions to “ ALYSSA MARTINEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.