MEDICARE: YENISBEL SANCHEZ MARTINEZ 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	363L00000X	Nurse Practitioner	APRN11030636	FL

General Provider Information

NPI Number	:	1659132322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENISBEL SANCHEZ MARTINEZ APRN

Provider Business Mailing Address
First Line	:	2075 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2540
Country	:	US
Telephone Number	:	786-772-3668
Fax Number	:	786-641-5175

Provider Business Practice Location Address
First Line	:	2075 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2540
Country	:	US
Telephone Number	:	786-772-3668
Fax Number	:	786-641-5175

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

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	04/22/2024

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