Provider Demographics
NPI:1578024600
Name:DIAZ-MARTELL, YANET (MD)
Entity Type:Individual
Prefix:
First Name:YANET
Middle Name:
Last Name:DIAZ-MARTELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 LAMBTON LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-7865
Mailing Address - Country:US
Mailing Address - Phone:305-879-6227
Mailing Address - Fax:
Practice Address - Street 1:700 2ND AVE N STE 305
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5702
Practice Address - Country:US
Practice Address - Phone:305-879-6227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME153068207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine