Provider Demographics
NPI:1982392197
Name:REMON MARTIN, MARLENY DE LA CARIDAD
Entity Type:Individual
Prefix:
First Name:MARLENY
Middle Name:DE LA CARIDAD
Last Name:REMON MARTIN
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 1:225 NE 23RD ST APT 410
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4034
Mailing Address - Country:US
Mailing Address - Phone:786-690-7711
Mailing Address - Fax:
Practice Address - Street 1:225 NE 23RD ST APT 410
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4034
Practice Address - Country:US
Practice Address - Phone:786-690-7711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician