Provider Demographics
NPI:1215597273
Name:ROCHELIN-CHERY, MARTINE FRESNELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTINE
Middle Name:FRESNELLE
Last Name:ROCHELIN-CHERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARTINE
Other - Middle Name:F
Other - Last Name:CHERY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:20191 E COUNTRY CLUB DR APT 911
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3018
Mailing Address - Country:US
Mailing Address - Phone:514-967-8101
Mailing Address - Fax:
Practice Address - Street 1:20191 E COUNTRY CLUB DR APT 911
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3018
Practice Address - Country:US
Practice Address - Phone:917-414-9882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-20
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL141863207Q00000X
ARE-14506207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty