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Individual

RAUL MARTINEZ OSORIO SR.

Active
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Individual

RAUL MARTINEZ OSORIO SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
20-463
WI
363A00000X
Physician Assistant
Primary
2568-P.A.
PR
363AS0400X
Surgical Physician Assistant
2568-P.A.
PR

Other

Enumeration date
12/07/2020
Last updated
06/27/2025
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