MEDICARE: YODALYS MARTINEZ LOPEZ

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	RBT24-342543	FL

General Provider Information

NPI Number	:	1891539474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YODALYS MARTINEZ LOPEZ

Provider Business Mailing Address
First Line	:	1716 3RD AVE N APT 4101
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3214
Country	:	US
Telephone Number	:	561-225-5240
Fax Number	:

Provider Business Practice Location Address
First Line	:	1716 3RD AVE N APT 4101
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3214
Country	:	US
Telephone Number	:	561-225-5240
Fax Number	:

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

Provider Enumeration Date	:	06/19/2024
Last Update Date	:	06/19/2024

Similar Medicare Providers

1386508125 — LAZARO ALEJANDRO RUIZ MARTINEZ
Practice Location Address:

1716 3RD AVE N APT 4101
LAKE WORTH BEACH, FL
33460-3214

Practice Phone: 561-225-5248
Practice Fax:

1902234743 — MANITOU DENTAL CARE LTD
Practice Location Address:

2189 3RD ST
WHITE BEAR LAKE, MN
55110-3214

Practice Phone: 651-429-9221
Practice Fax: 651-429-4320

1538604798 — BIO-MEDICAL APPLICATIONS OF LOUISIANA, LLC
Practice Location Address:

3214 VENTURE PARK DR
LAKE CHARLES, LA
70615-5443

Practice Phone: 337-478-4846
Practice Fax: 337-478-4849

1669111555 — CHRISTINE MCCLARY JIMENEZ M.S. CCC-SLP
Practice Location Address:

3214 CLINTON AVE
FORT WORTH, TX
76106-5858

Practice Phone: 817-815-0700
Practice Fax:

1346123460 — GO SAFE RIDES
Practice Location Address:

3214 RIVER PARK LN S APT 1433
FORT WORTH, TX
76116-1130

Practice Phone: 817-450-4557
Practice Fax:

1447810072 — ELENA YURYEVNA SOKOLOVA MD
Practice Location Address:

2501 N A ST
LAKE WORTH, FL
33460-6013

Practice Phone: 872-231-3162
Practice Fax:

Directions to “ YODALYS MARTINEZ LOPEZ ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.