MEDICARE: GEYLIS MARTINEZ PEREZ

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

Other Identifiers

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

General Provider Information

NPI Number	:	1902453426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEYLIS MARTINEZ PEREZ

Provider Business Mailing Address
First Line	:	361 E LAKE RD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1809
Country	:	US
Telephone Number	:	786-622-8025
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 E LAKE RD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1809
Country	:	US
Telephone Number	:	786-622-8025
Fax Number	:

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

Provider Enumeration Date	:	08/20/2019
Last Update Date	:	03/10/2026

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Directions to “ GEYLIS MARTINEZ PEREZ ” Practice Location

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