MAURICIO MARTIN
NPI 1578011920
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Miami, FL

Active since September 14, 2016
20342 SW 129TH PL, MIAMI, FL 33177(786) 457-0743 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mauricio Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAURICIO MARTIN (NPI 1578011920) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Miami, Florida, licensed in Florida (11-1158-GH) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1578011920
Entity TypeIndividualMale
Primary Taxonomy320600000X
Provider Legal NameMAURICIO MARTIN
Location Address20342 SW 129TH PLMiami, FL 33177-5506
Mailing Address20342 Sw 129th PlMiami, FL 33177-5506
Sole ProprietorYes
Enumeration DateSeptember 14, 2016
NPI 1578011920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in FL · 11-1158-GH
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
20342 SW 129TH PL, Miami, FL 33177

Other Identifiers 1

Medicaid016584900FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
20342 SW 129TH PL
MIAMI, FL 33177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mauricio Martin's NPI number?

The NPI number for Mauricio Martin is 1578011920. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Mauricio Martin located?

Mauricio Martin practices at 20342 SW 129th Pl, Miami, FL 33177. The listed phone number is (786) 457-0743.

What is Mauricio Martin's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Mauricio Martin was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.