MEDICARE: RIKI ANN MARTINEZ MA

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	103TC0700X	Clinical Psychologist	PY12979	FL

General Provider Information

NPI Number	:	1578249892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIKI ANN MARTINEZ MA

Provider Business Mailing Address
First Line	:	3874 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3634
Country	:	US
Telephone Number	:	954-378-5381
Fax Number	:

Provider Business Practice Location Address
First Line	:	3874 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3634
Country	:	US
Telephone Number	:	954-378-5381
Fax Number	:

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

Provider Enumeration Date	:	06/22/2023
Last Update Date	:	01/29/2026

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Directions to “ RIKI ANN MARTINEZ MA” Practice Location

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