Provider Demographics
NPI:1851282073
Name:MARTINEZ HERNANDEZ, LIDIA ESTHER
Entity type:Individual
Prefix:
First Name:LIDIA
Middle Name:ESTHER
Last Name:MARTINEZ HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10810 DOMINICO ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-5602
Mailing Address - Country:US
Mailing Address - Phone:407-714-5374
Mailing Address - Fax:
Practice Address - Street 1:10810 DOMINICO ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5602
Practice Address - Country:US
Practice Address - Phone:407-714-5374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health