Provider Demographics
NPI:1629942602
Name:MARTI, DANIA ELVIRA (FNP)
Entity type:Individual
Prefix:
First Name:DANIA
Middle Name:ELVIRA
Last Name:MARTI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11740 SW 175TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2257
Mailing Address - Country:US
Mailing Address - Phone:786-624-7163
Mailing Address - Fax:
Practice Address - Street 1:11740 SW 175TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2257
Practice Address - Country:US
Practice Address - Phone:786-624-7163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF05250870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine