Provider Demographics
NPI:1366601114
Name:MARTIREZ, ELVIE GAITE (PT)
Entity type:Individual
Prefix:
First Name:ELVIE
Middle Name:GAITE
Last Name:MARTIREZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 33RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-2815
Mailing Address - Country:US
Mailing Address - Phone:239-298-0144
Mailing Address - Fax:239-593-0927
Practice Address - Street 1:3530 33RD AVE NE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-2815
Practice Address - Country:US
Practice Address - Phone:239-298-0144
Practice Address - Fax:239-593-0927
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 10093225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist