Provider Demographics
NPI:1417725177
Name:SANCHEZ MARTINEZ, DILEIMY (FNP)
Entity Type:Individual
Prefix:
First Name:DILEIMY
Middle Name:
Last Name:SANCHEZ MARTINEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11701 NW 31ST ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1201
Mailing Address - Country:US
Mailing Address - Phone:786-484-3867
Mailing Address - Fax:
Practice Address - Street 1:11701 NW 31ST ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-1201
Practice Address - Country:US
Practice Address - Phone:786-484-3867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty