Provider Demographics
NPI:1689871097
Name:MARTINEZ, ZULMA NATALIA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ZULMA
Middle Name:NATALIA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:13934 N CYPRESS COVE CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-6749
Mailing Address - Country:US
Mailing Address - Phone:954-591-1030
Mailing Address - Fax:954-424-8213
Practice Address - Street 1:9411 NW 24TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3237
Practice Address - Country:US
Practice Address - Phone:954-445-4236
Practice Address - Fax:354-572-8570
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8816235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL891424900Medicaid