# ROSA YOLANDA MARTINEZ JORGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265063309
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 80908 | PR | Yes |
| 163WG0000X | General Practice Registered Nurse | 80908-G | PR | — |

## Other

- **Enumeration date:** 01/28/2020
- **Last updated:** 01/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 80908-G | NURSE LICENSE | PR |