Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAURICIO MARTIN

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · MIAMI, FL

Registration Details

NPI Number: 1578011920
Provider Type: Individual
Gender: Male
NPI Issued: Sep 14, 2016 (9.6018626709599 yrs)
Last Updated: Sep 14, 2016
License: 11-1158-GH (FL)
Sole Proprietor: Yes

Practice Information

Address: 20342 SW 129TH PL

MIAMI, FL, 331775506
Browse FL providers · Browse ZIP 33177
Phone: 7864570743
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.