MEDICARE: ELISA MARTINEZ GARCIA 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	163WG0000X	General Practice Registered Nurse	RN9251486	FL
2	208100000X	Physical Medicine & Rehabilitation Physician	APRN11015743	FL
3	363LF0000X	Family Nurse Practitioner	APRN11015743	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	:	1932871076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISA MARTINEZ GARCIA APRN

Provider Business Mailing Address
First Line	:	1776 WOODSTEAD CT STE 208
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1480
Country	:	US
Telephone Number	:	877-749-7428
Fax Number	:

Provider Business Practice Location Address
First Line	:	6150 MEDICAL PARK LOOP
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4537
Country	:	US
Telephone Number	:	239-722-3600
Fax Number	:

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

Provider Enumeration Date	:	09/28/2021
Last Update Date	:	11/26/2025

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