Licet Martinez Queija

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11043054 Issued in FL

Practice address

1915 SW Jamesport Dr
Port Saint Lucie, FL 34953-4597

Phone

(786) 320-3867

NPI assigned

Jan 5, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ido Care MD LLC

  • Infectious Disease Physician
  • Stuart, FL
  • NPI 1184402810
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1922965706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 SW JAMESPORT DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 SW JAMESPORT DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534597",
            "telephone_number": "786-320-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ QUEIJA",
        "first_name": "LICET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11043054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cavelline M. Martin-Darby, APRN/DNP
• Aidan Scott Martin, DC
• Nan Elizabeth Martin, DC
• Lourdes Isabel Martinez Fernandez
• Doryan Martinez Pino
• Ashton Louis Martinez, RBT
• Teresa Martinez, NP-C
• Yuriznirzi Martinez
• Raymond Massey
• Royce Mathew, P.A.C

• Nurse Practitioner in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.