Provider Demographics
NPI:1013681022
Name:MARTINEZ GONZALEZ, ANIA
Entity Type:Individual
Prefix:MRS
First Name:ANIA
Middle Name:
Last Name:MARTINEZ GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6995 NW 186TH ST APT E510
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3441
Mailing Address - Country:US
Mailing Address - Phone:786-200-7992
Mailing Address - Fax:
Practice Address - Street 1:6995 NW 186TH ST APT E510
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-3441
Practice Address - Country:US
Practice Address - Phone:786-200-7992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst