Individual
JUAN CARLOS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
900 E 9TH ST, HIALEAH, FL 33010-4650
(305) 381-5294
Mailing address
8822 W FLAGLER ST APT 9, MIAMI, FL 33174-2363
(786) 856-5776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0105008
FL
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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