Provider Demographics
NPI:1851763288
Name:MARTINEZ-CASTILLO, YENIXIS (APRN)
Entity Type:Individual
Prefix:
First Name:YENIXIS
Middle Name:
Last Name:MARTINEZ-CASTILLO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6378 NW 170TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4629
Mailing Address - Country:US
Mailing Address - Phone:305-721-5935
Mailing Address - Fax:
Practice Address - Street 1:6378 NW 170TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4629
Practice Address - Country:US
Practice Address - Phone:305-721-5935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9292552163WP2201X
FLAPRN11007317363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care