Provider Demographics
NPI:1750779088
Name:MARTIN MARTINEZ, ARMANDO (MSN, ARNP-FNP)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:MARTIN MARTINEZ
Suffix:
Gender:M
Credentials:MSN, ARNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7411 W 22ND AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6881
Mailing Address - Country:US
Mailing Address - Phone:305-924-6384
Mailing Address - Fax:
Practice Address - Street 1:8400 NW 33RD ST STE 201
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1937
Practice Address - Country:US
Practice Address - Phone:305-718-9138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2022-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9442096163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14-659OtherSA-C CERTIFICATION NUMBER