Provider Demographics
NPI:1255214219
Name:CANIZARES MARTINEZ, LIDIANA LIANET
Entity type:Individual
Prefix:
First Name:LIDIANA
Middle Name:LIANET
Last Name:CANIZARES MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 SE 7TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5753
Mailing Address - Country:US
Mailing Address - Phone:305-645-1730
Mailing Address - Fax:
Practice Address - Street 1:871 SE 7TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5753
Practice Address - Country:US
Practice Address - Phone:305-645-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician