Provider Demographics
NPI:1083368542
Name:MARTINEZ, BETSY (APRN)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SYLVESTER COMPREHENSIVE CANCER CENTER
Mailing Address - Street 2:1475 NW 12 AVENUE
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:786-223-7672
Mailing Address - Fax:
Practice Address - Street 1:SYLVESTER COMPREHENSIVE CANCER CENTER
Practice Address - Street 2:1475 NW 12 AVENUE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:786-223-7672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11016450363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily