Briceno Martin, Maria

Briceno Martin, Maria is an sole proprietor health care provider with primary practice located at 14750 Nw 77Th Ct Ste 110 , Miami Lakes FL 33016-1507. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Briceno Martin, Maria can be contacted via phone (305) 456-7313.

Contact Information

Primary practice address
14750 Nw 77Th Ct Ste 110 Miami Lakes FL 33016-1507
Phone: (305) 456-7313
Fax: (305) 640-5346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4209 Florida

Profile Details

NPI number 1629260849
LBN Legal business name Briceno Martin, Maria
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2007
Last updated Sep 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629260849 NPPES
Florida MEDICAID 000019400

Popular Providers