person
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. You can also correspond with Mauricio Martin through the mailing address at 20342 SW 129TH PL, MIAMI, FL - 33177-5506 (mailing address contact number: ).

Location: 20342 Sw 129Th Pl, Miami, FL, 33177-5506
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
State
Zip
33177-5506
Phone Number
786-457-0743
Fax Number
person
Provider Business Mailing Address Details
Address
20342 Sw 129Th Pl
City
State
Zip
33177-5506
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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