MEDICARE: MARTHA BRIZUELA

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	163W00000X	Registered Nurse	RN9232650	FL

General Provider Information

NPI Number	:	1689468001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA BRIZUELA

Provider Business Mailing Address
First Line	:	3950 SW 2ND TER
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1727
Country	:	US
Telephone Number	:	786-282-4960
Fax Number	:	305-680-3954

Provider Business Practice Location Address
First Line	:	3950 SW 2ND TER
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1727
Country	:	US
Telephone Number	:	786-282-4960
Fax Number	:	305-680-3954

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

Provider Enumeration Date	:	04/09/2025
Last Update Date	:	05/02/2025

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Directions to “ MARTHA BRIZUELA ” Practice Location

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