Provider Demographics
NPI:1831816487
Name:MARTINEZ, SONIA E (FNP-BC)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:E
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:E
Other - Last Name:MORERA HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2513 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7917
Mailing Address - Country:US
Mailing Address - Phone:561-331-2983
Mailing Address - Fax:
Practice Address - Street 1:2513 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-7917
Practice Address - Country:US
Practice Address - Phone:561-331-2983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1153791363LF0000X
TN35805363LF0000X
NJ26NJ15044700363LF0000X
GANP002710363LF0000X
CT14282363LF0000X
FL11022407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily