MEDICARE: ALFREDO MARTINEZ ZAMBRANA

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-25-429439	FL

General Provider Information

NPI Number	:	1144017971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFREDO MARTINEZ ZAMBRANA

Provider Business Mailing Address
First Line	:	19921 SW 122ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-4905
Country	:	US
Telephone Number	:	786-355-6111
Fax Number	:

Provider Business Practice Location Address
First Line	:	19921 SW 122ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-4905
Country	:	US
Telephone Number	:	786-355-6111
Fax Number	:	786-355-6111

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

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/23/2025

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Directions to “ ALFREDO MARTINEZ ZAMBRANA ” Practice Location

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