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Mauricio Martin
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Miami, Florida
NPI 1578011920

Mauricio Martin is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Miami, FL. Mauricio Martin practices in Miami, FL. The NPI Number for Mauricio Martin is 1578011920 and holds a License No. 11-1158-GH (Florida).

The current practice location address for Mauricio Martin is 20342 Sw 129Th Pl, Miami, FL and can be reached out via phone at 786-457-0743.

Location: 20342 Sw 129Th Pl, Miami, FL, 33177-5506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578011920
Provider Name
Mauricio Martin
Credential
Provider Entity Type
Individual
Gender
Male
Address
20342 Sw 129Th Pl, Miami, FL, 33177-5506
Phone Number
786-457-0743
Fax Number
Provider Enumeration Date
09/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016584900 05 FL
institution
Provider Business Practice Location Address Details
Address
20342 Sw 129Th Pl
City
Miami
State
Florida
Zip
33177-5506
Phone Number
786-457-0743
Fax Number
person
Provider Business Mailing Address Details
Address
20342 Sw 129Th Pl
City
Miami
State
Florida
Zip
33177-5506
Phone Number
786-457-0743
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
11-1158-GH (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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