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NPI Code Detail

MEDICARE: SANDRA MERCEDES MARTINEZ NAVARRO

MEDICARE: SANDRA MERCEDES MARTINEZ NAVARRO
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 Technician

General Provider Information

NPI Number : 1710759956
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA MERCEDES MARTINEZ NAVARRO
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1416 AVE M, SUITE 42
Second Line :
City : LUBBOCK
State : TX
Zip : 79401
Country : US
Telephone Number : 561-298-9740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 12/20/2023

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Directions to “ SANDRA MERCEDES MARTINEZ NAVARRO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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