Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mauricio Martin

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1578011920

Mauricio Martin is registered under Intellectual and/or Developmental Disabilities Residential Treatment Facility in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

20342 SW 129th Pl
Miami, FL 33177-5506 Not confirmed with CMS for 10 years — call before visiting
Phone: (786) 457-0743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 11-1158-GH (FL)

Record details

NPI number1578011920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2016
Last updated in NPPESSeptember 14, 2016

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