Provider Demographics
NPI:1518743103
Name:LORENZO MARTINEZ, RIGOBERTO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RIGOBERTO
Middle Name:
Last Name:LORENZO MARTINEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 NW 179TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5410
Mailing Address - Country:US
Mailing Address - Phone:786-608-2819
Mailing Address - Fax:
Practice Address - Street 1:7010 NW 179TH ST APT 201
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5410
Practice Address - Country:US
Practice Address - Phone:786-608-2819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS66144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist