NPI 1700300092

Martinez Group Home, LLC

Organisation Physical Disabilities Residential Treatment Facility Miami, FL

Practice location

Address: 14918 SW 15 Ln, Miami, FL 33194
Phone: (305) 450-7645
Fax: (786) 360-5343

Authorised official

Name: Nelson M Martinez
Title: President
Phone: (305) 450-7645

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence L11-1108-GH (FL)

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1700300092
Entity type: Organization
NPI issued: 28 Jul 2017
Record last updated: 28 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.