Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME144640 | FL |
NPI | 1013370808 |
---|---|
Provider Name | Dr. Xiomara Martinez |
First Address | South Miami, FL 33143-4800 |
Second Address | South Miami, FL 33143-4800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2016 |
Last Update Date | 31/07/2020 |