Individual
RAMON MARZO MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, RBT
Contact information
Practice address
15660 SW 72ND ST, MIAMI, FL 33193-1923
(786) 697-1150
Mailing address
11288 SW 234TH TER, HOMESTEAD, FL 33032-6271
(786) 768-3853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-224424
FL
163W00000X
Registered Nurse
Primary
RN9667124
FL
163WC1500X
Community Health Registered Nurse
RN9667124
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9667124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-224424
BACB
FL
01
—
RN9667124
FLORIDA BOARD OF NURSING
FL
Enumeration date
09/18/2024
Last updated
09/18/2024
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