| Doctor Name: | MS. MARTA ROSA FERNANDEZ |
| NPI Number: | 1780666750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME90692 |
| Business Practice Address: | 632 Washington Ave Homestead, FL - 330306038 |
| Business Phone Number: | 3052461265 |
| Business Fax Number: | 3052461240 |
| Mailing Address: | 632 Washington Ave, HOMESTEAD |
| State: | FL |
| Postal Code: | 330306038 |
| Phone Number: | 3057029441 |
| Fax Number: | 3057029442 |
| NPI Enumeration Date: | 11/16/2005 |
| NPI Last Update Date: | 01/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME90692 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |