Provider Demographics
NPI:1447571146
Name:MARTINEZ, LILIANA (ARNP, FNP-BC, NP-C)
Entity Type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:ARNP, FNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 OCEANGATE
Mailing Address - Street 2:#100
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4317
Mailing Address - Country:US
Mailing Address - Phone:562-499-6191
Mailing Address - Fax:562-276-4825
Practice Address - Street 1:8300 NW 33RD ST
Practice Address - Street 2:#400
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1940
Practice Address - Country:US
Practice Address - Phone:888-562-5442
Practice Address - Fax:562-276-4825
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9194148163WW0101X
WAN361080984363LF0000X
NMAPRN-CNP60324363LF0000X
UT11790098-4409363LF0000X
FLARNP9194148363LF0000X, 163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WU0100XNursing Service ProvidersRegistered NurseUrology