Taniuska Alberti Martinez

Individual provider Active NPI Developmental Therapist · Miami, FL

NPI 1467965137 · NPPES record last updated Oct 30, 2022

Key facts

NPI
1467965137
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
8785 SW 165TH Ave Ste 101
Miami, FL 33193-5827
Phone
(305) 388-8009
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CBHCMS101146FLMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CBHCMS101146 FL
Case Manager/Care Coordinator 171M00000X CBHCMS101146 FL
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

8785 SW 165TH Ave Ste 101
Miami, FL 33193-5827

Mailing address

1235 SW 24TH Ave
Miami, FL 33135-4823
Phone (786) 320-3973

Other identifiers

IdentifierTypeStateIssuer
222Q00000XMedicaidFL

Other providers in Miami, FL

All providers in Miami, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.