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Ingrid Maria Martinez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6262 Sunset Dr Ste 303, South Miami, FL 33143-4843

PECOS Enrollment

This provider is enrolled in PECOS as INGRID MARTINEZ.

Based on the most recent information from CMS, provider Ingrid Maria Martinez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1740887629
Provider Type
Individual
Full Name
Martinez, Ingrid Maria
Credential
FNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/5/2020
Last Updated
7/22/2024

Contact Information

Practice Location

6262 Sunset Dr Ste 303, South Miami, FL 33143-4843

(786) 663-5418

Unlisted Fax

Mailing Location

18000 Studebaker Rd Ste 800, Cerritos, CA 90703-2671

(562) 735-3226

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11009234 Florida
Code 163WH1000X	Description Registered Nurse Nursing Service Providers	License RN9437588 Florida

Ingrid Maria Martinez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Grau Fernandez, Tania

Gonzalez Cruz, Katiusca

Vizoso, Francesca

Prasad, Sushama

Gottlieb, Nicole L

Peraita, Noris

Gonzalez, Lilian

Vazquez, Dayana

Aicardi, Yesenia

Martinez, Yuliet