Provider Demographics
NPI:1467331892
Name:MARTINEZ SUBIZA, LEMIS E
Entity type:Individual
Prefix:
First Name:LEMIS
Middle Name:E
Last Name:MARTINEZ SUBIZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 SE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-4010
Mailing Address - Country:US
Mailing Address - Phone:239-710-6670
Mailing Address - Fax:
Practice Address - Street 1:410 SE 4TH ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-4010
Practice Address - Country:US
Practice Address - Phone:239-710-6670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-467292106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician