Individual ProviderLadisbel Garcia MartinezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address17911 SW 115th Ave, Miami, FL 33157-4935(786) 267-1029PECOS EnrollmentBased on the most recent information from CMS, provider Ladisbel Garcia Martinez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1811694409Provider TypeIndividualFull NameGarcia Martinez, LadisbelGenderFemaleSole ProprietorNoEnumeration Date2/14/2023Last Updated2/14/2023Contact InformationPractice LocationPractice Address17911 SW 115th Ave, Miami, FL 33157-4935Phone(786) 267-1029FaxUnlisted FaxMailing LocationMailing Address17911 SW 115th Ave, Miami, FL 33157-4935Phone(786) 267-1029FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11024605Florida