MEDICARE: MISBEL MARTINEZ

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
1	106S00000X	Behavior Technician	15-09104	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1811438872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISBEL MARTINEZ

Provider Business Mailing Address
First Line	:	2016 BAY DR APT 805
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2016 BAY DR APT 805
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4422
Country	:	US
Telephone Number	:	786-773-3393
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2017
Last Update Date	:	01/29/2025

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Directions to “ MISBEL MARTINEZ ” Practice Location

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