Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 029900R | PR |
Y | 2080P0205X | Pediatric Endocrinologist | ME122799 | FL |
NPI | 1144574104 |
---|---|
Provider Name | Yela Monica Martinez-Rubio |
First Address | Fort Lauderdale, FL 33309-3750 |
Second Address | Ft Lauderdale, FL 33316-2521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2012 |
Last Update Date | 10/10/2018 |