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NPI Code Detail

MEDICARE: AVELINO ALONSO MARTINEZ

MEDICARE: AVELINO ALONSO 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
1103K00000XBehavior Analyst1-25-86825FL
2106S00000XBehavior TechnicianRBT-23-281757FL

Other Identifiers

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

General Provider Information

NPI Number : 1750069050
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVELINO ALONSO MARTINEZ
Provider Business Mailing Address
First Line : 1714 NW 17TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-4907
Country : US
Telephone Number : 786-689-8495
Fax Number :
Provider Business Practice Location Address
First Line : 5051 MEMORIAL HWY
Second Line :
City : TAMPA
State : FL
Zip : 33634-7355
Country : US
Telephone Number : 813-290-0779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2023
Last Update Date : 01/09/2026

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Directions to “ AVELINO ALONSO MARTINEZ ” Practice Location

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