Provider Demographics
NPI:1881366896
Name:MARTINEZ GARCIA, YUSLEYDI
Entity type:Individual
Prefix:
First Name:YUSLEYDI
Middle Name:
Last Name:MARTINEZ GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 W 22ND CT APT 29
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3985
Mailing Address - Country:US
Mailing Address - Phone:786-237-7349
Mailing Address - Fax:
Practice Address - Street 1:6215 W 22ND CT APT 29
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-3985
Practice Address - Country:US
Practice Address - Phone:786-237-7349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician