Most Relevant Information
Provider Data
| NPI Number: | 1003420894 |
| Provider Name: | JORGE L SOCA MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2020 |
| Last Updated: | 10/22/2020 |
Provider Practice Location
15480 SW 82ND LN APT 217
MIAMI
FL
331935066
Practice Location Phone/Fax
| Phone: | 7864161932 |
| Fax: |
Provider Mailing Location
15480 SW 82ND LN APT 217
MIAMI
FL
331935066
Provider Mailing Phone/Fax
| Phone: | 7864161932 |
| Fax: |