Provider Demographics
NPI:1598637464
Name:MARTINEZ SANCHEZ, REGIS JOSE
Entity type:Individual
Prefix:
First Name:REGIS
Middle Name:JOSE
Last Name:MARTINEZ SANCHEZ
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 1:7234 SW 128TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3442
Mailing Address - Country:US
Mailing Address - Phone:305-781-2010
Mailing Address - Fax:
Practice Address - Street 1:7234 SW 128TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3442
Practice Address - Country:US
Practice Address - Phone:305-781-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician