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NPI Code Detail

MEDICARE: MRS. ILIANA MARTIN DANIEL RBT

MEDICARE:  MRS. ILIANA  MARTIN DANIEL  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-20-119495FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134743057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ILIANA MARTIN DANIEL RBT
Provider Business Mailing Address
First Line : 7535 SW 152ND AVE APT C307
Second Line :
City : MIAMI
State : FL
Zip : 33193-3277
Country : US
Telephone Number : 786-447-6921
Fax Number :
Provider Business Practice Location Address
First Line : 7535 SW 152ND AVE APT C307
Second Line :
City : MIAMI
State : FL
Zip : 33193-3277
Country : US
Telephone Number : 786-447-6921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2020
Last Update Date : 06/05/2020

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Directions to “ MRS. ILIANA MARTIN DANIEL RBT” Practice Location

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