Provider Demographics
NPI:1285149583
Name:SANCHEZ MARTINEZ, YAMILET
Entity type:Individual
Prefix:
First Name:YAMILET
Middle Name:
Last Name:SANCHEZ MARTINEZ
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 1:24951 SW 130TH AVE APT 203
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-4061
Mailing Address - Country:US
Mailing Address - Phone:786-728-4845
Mailing Address - Fax:
Practice Address - Street 1:24951 SW 130TH AVE APT 203
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-4061
Practice Address - Country:US
Practice Address - Phone:786-728-4845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician