Individual
MIREIDYS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA-SLPA
Contact information
Practice address
6321 SW 40TH ST, MIAMI, FL 33155-4825
(305) 461-4702
Mailing address
13888 SW 63RD ST, MIAMI, FL 33183-1174
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2133
FL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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