Provider Demographics
NPI:1417309014
Name:MARTINEZ, RAQUEL (ARNP)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9380 SW 150TH ST STE 230
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7947
Mailing Address - Country:US
Mailing Address - Phone:844-665-4827
Mailing Address - Fax:877-728-2847
Practice Address - Street 1:9380 SW 150TH ST STE 230
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7947
Practice Address - Country:US
Practice Address - Phone:844-665-4827
Practice Address - Fax:877-728-2847
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9359160163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse