MEDICARE: ROSY LUZ MARTINEZ FERNANDEZ

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	101YM0800X	Mental Health Counselor
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11011558	FL
3	363LF0000X	Family Nurse Practitioner	11011558	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	:	1598358160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSY LUZ MARTINEZ FERNANDEZ

Provider Business Mailing Address
First Line	:	9371 FONTAINEBLEAU BLVD APT I121
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-5672
Country	:	US
Telephone Number	:	786-278-1181
Fax Number	:	727-606-4886

Provider Business Practice Location Address
First Line	:	9371 FONTAINEBLEAU BLVD APT I121
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-5672
Country	:	US
Telephone Number	:	786-278-1181
Fax Number	:

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

Provider Enumeration Date	:	02/15/2021
Last Update Date	:	12/12/2025

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Directions to “ ROSY LUZ MARTINEZ FERNANDEZ ” Practice Location

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