MEDICARE: RONER ALEJANDRO MARTINEZ RODRIGUEZ

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	RBT-23-318790	FL

General Provider Information

NPI Number	:	1093586265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONER ALEJANDRO MARTINEZ RODRIGUEZ

Provider Business Mailing Address
First Line	:	60 NE 14TH ST APT 819
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33132-1480
Country	:	US
Telephone Number	:	786-296-7820
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 NE 14TH ST APT 819
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33132-1480
Country	:	US
Telephone Number	:	786-296-7820
Fax Number	:

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

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	03/11/2026

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