Edward Rafael Martinez, is a
Behavior Technician based in Jacksonville, Florida. Edward Rafael Martinez is licensed to practice in NU (license number ) and his current practice location is
12724 Gran Bay Parkway, 410, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at
(855) 832-6727.
NPI number for Edward Rafael Martinez is 1720543366 and his current mailing address is 790 Alexander Avenue, Deltona, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720543366.
Healthcare Provider's Profile
| Full Name | Edward Rafael Martinez |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 12724 Gran Bay Parkway, Jacksonville, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720543366
- Provider Enumeration Date: 02/07/2019
- Last Update Date: 06/30/2025
Medical Identifiers
Medical identifiers for Edward Rafael Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720543366 | NPI | - | NPPES |
| 106S00000X | Medicaid | FL | |
| 17198 | Other | FL | 17198 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 106S00000X | Behavior Technician | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Rafael Martinez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edward Rafael Martinez,
790 Alexander Avenue,
Deltona, FL 32725-7307
Ph: (321) 914-9665 | Edward Rafael Martinez,
12724 Gran Bay Parkway, 410,
Jacksonville, FL 32258
Ph: (855) 832-6727 |
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