Sussel Gandur Martinez
Nurse Practitioner - Critical Care Medicine
20814 W Dixie Hwy
Miami
, Florida 33180-1147
Sussel Gandur Martinez
Nurse Practitioner - Critical Care Medicine
20814 W Dixie Hwy
Miami
, Florida 33180-1147
(786) 503-9520
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Sussel Gandur Martinez
- 6021 Nw 201st St
- Hialeah, FL
- Zip : 33015-4889
- Phone : (786) 503-9520
Second Address
- Sussel Gandur Martinez
- 20814 W Dixie Hwy
- Miami, FL
- Zip : 33180-1147
- Phone : (305) 933-8433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11008348 | FL |
National Provider Identifier
| NPI | 1104490838 |
|---|---|
| Provider Name | Sussel Gandur Martinez |
| First Address | Hialeah, FL 33015-4889 |
| Second Address | Miami, FL 33180-1147 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2021 |
| Last Update Date | 23/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.