Provider Demographics
NPI:1992864300
Name:MARTINEZ, IRENE FRANCISCA (ARNP)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:FRANCISCA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5013 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-4744
Mailing Address - Country:US
Mailing Address - Phone:954-894-5011
Mailing Address - Fax:
Practice Address - Street 1:242 NW 42ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5435
Practice Address - Country:US
Practice Address - Phone:305-448-0809
Practice Address - Fax:305-448-9123
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2217452163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse