Provider Demographics
NPI:1508582297
Name:MARTINEZ, MARIA FIORELLA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:FIORELLA
Last Name:MARTINEZ
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 1:2173 SHERRI MAR ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-0959
Mailing Address - Country:US
Mailing Address - Phone:720-429-0067
Mailing Address - Fax:
Practice Address - Street 1:2173 SHERRI MAR ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-0959
Practice Address - Country:US
Practice Address - Phone:720-429-0067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health