# DR. EDGARD REINALDO MARTINEZ SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528284858
- **Gender:** Man
- **Credential:** M.S. PH. D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TS0200X | School Psychologist | 689 | PR | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 689 LICENCE | CLINICAL PSYCHOLOGIST | PR |