MEDICARE: LISEYDI MARTINEZ CALVO

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

General Provider Information

NPI Number	:	1588437891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISEYDI MARTINEZ CALVO

Provider Business Mailing Address
First Line	:	3203 W 77TH PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3203 W 77TH PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5002
Country	:	US
Telephone Number	:	786-318-2974
Fax Number	:

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

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	10/30/2023

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Directions to “ LISEYDI MARTINEZ CALVO ” Practice Location

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