Eddy Ramiro Martinez Penso, FNP
Nurse Practitioner, Family in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1619829488
StatusActive
Last updated in NPPESNov 4, 2026
Details
- NPI
- 1619829488
- Entity type
- Individual (NPI-1)
- Name
- Mr. Eddy Ramiro Martinez Penso
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2026
- Certification date
- Nov 4, 2026
- Last updated
- Nov 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11045423 | FL | Yes |
Practice location
1800 Se Tiffany AvePort St Lucie, FL 34952-7521
Phone 772-335-4000
Mailing address
Po Box 22239New York, NY 10087-0001
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