Provider Demographics
NPI:1013705201
Name:SALMERON MARTINEZ, DARIEL
Entity type:Individual
Prefix:
First Name:DARIEL
Middle Name:
Last Name:SALMERON MARTINEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5991 SW 76TH ST APT B3
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5101
Mailing Address - Country:US
Mailing Address - Phone:786-413-7849
Mailing Address - Fax:
Practice Address - Street 1:5991 SW 76TH ST APT B3
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5101
Practice Address - Country:US
Practice Address - Phone:786-413-7849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-350025106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician