Provider Demographics
NPI:1912727611
Name:MARTINEZ PEREZ, SAILY (APRN)
Entity type:Individual
Prefix:
First Name:SAILY
Middle Name:
Last Name:MARTINEZ PEREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 W 74TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4835
Mailing Address - Country:US
Mailing Address - Phone:786-213-5227
Mailing Address - Fax:
Practice Address - Street 1:4855 W HILLSBORO BLVD STE B13
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4365
Practice Address - Country:US
Practice Address - Phone:954-420-9182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035794363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health