Provider Demographics
NPI:1083496707
Name:MARTE, WENDOLYN
Entity Type:Individual
Prefix:
First Name:WENDOLYN
Middle Name:
Last Name:MARTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12747 SW 136TH ST APT 8212
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5370
Mailing Address - Country:US
Mailing Address - Phone:407-307-6265
Mailing Address - Fax:
Practice Address - Street 1:12747 SW 136TH ST APT 8212
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5370
Practice Address - Country:US
Practice Address - Phone:407-307-6265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty