MEDICARE: IRENE FRANCISCA MARTINEZ ARNP

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	ARNP 2217452	FL

General Provider Information

NPI Number	:	1992864300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE FRANCISCA MARTINEZ ARNP

Provider Business Mailing Address
First Line	:	5013 CLEVELAND ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-4744
Country	:	US
Telephone Number	:	954-894-5011
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 NW 42ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-5435
Country	:	US
Telephone Number	:	305-448-0809
Fax Number	:	305-448-9123

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/08/2007

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