Martin, Mauricio
Martin, Mauricio is an sole proprietor health care provider with primary practice located at 20342 Sw 129Th Pl , Miami FL 33177-5506. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Martin, Mauricio can be contacted via phone (786) 457-0743.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 11-1158-GH | Florida |
Profile Details
| NPI number | 1578011920 |
|---|---|
| LBN Legal business name | Martin, Mauricio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2016 |
| Last updated | Sep 14th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578011920 | NPPES |
| Florida | MEDICAID | 016584900 |
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