Provider Demographics
NPI:1710452917
Name:MARTINEZ, ANNE (HHA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 W OKEECHOBEE RD LOT B11
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-1074
Mailing Address - Country:US
Mailing Address - Phone:305-319-2795
Mailing Address - Fax:
Practice Address - Street 1:1275 W 35TH ST APT 65B
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4882
Practice Address - Country:US
Practice Address - Phone:305-319-2795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide