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Individual
JUAN R MARTINO
Active
Individual
JUAN R MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12748
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11603
GLOBAL HEALTH PLAN
PR
01
—
1912914391
FIRST MEDICAL
PR
01
—
6120152
HUMANA
PR
01
—
89544
SSS
PR
01
—
PE3625
PAN AMERICAN LIFE
PR
Enumeration date
08/01/2006
Last updated
09/26/2012
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