Provider Demographics
NPI:1194148098
Name:MARTINEZ, JOIXA (MS)
Entity type:Individual
Prefix:
First Name:JOIXA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JOIXA
Other - Middle Name:
Other - Last Name:HERNANDEZ ABRAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3621 NE 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2905
Mailing Address - Country:US
Mailing Address - Phone:787-597-6931
Mailing Address - Fax:
Practice Address - Street 1:3621 NE 10TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-2905
Practice Address - Country:US
Practice Address - Phone:787-597-6931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2014235Z00000X
FLSA15724235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA15724OtherFLORIDA DEPARTMENT OF HEALTH