Individual provider · Type 1 NPI

Carlos Manuel Martinez Lara

Student in an Organized Health Care Education/Training Program · Doral, FL

NPI number 1962288779 Active

Practice location

7955 NW 12th St Ste 405
Doral, FL 33126-1823

Call (786) 615-4409 Map

Fax (786) 637-2974

Mailing address

12710 SW 43rd Dr
Miami, FL 33175-4133

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-23-296349 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10097097 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12 other providers at this address

Other student in an organized health care education/training program providers in Doral

See all in Doral →

About NPI 1962288779

Carlos Manuel Martinez Lara's National Provider Identifier is 1962288779, issued on Sep 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Doral, FL. The record was last updated on Jun 28, 2026.