Organization
INSTITUTO DE CUIDADO DEL SENO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARLOS MARTINEZ MD (SURGEON)
(787) 641-0209
Entity
Organization
Contact information
Practice address
BAYAMON MEDICAL PLZ, SUITE 209, BAYAMON, PR 00959-7200
(787) 641-0209
(787) 779-8178
Mailing address
BAYAMON MEDICAL PLZ, SUITE 209, BAYAMON, PR 00959-7200
(787) 641-0209
(787) 779-8178
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061658
CAZ
—
01
—
2013IN
TRIPLE S
—
01
—
7605
IMC
—
01
—
9590095
HUMANA
—
01
—
PE4737
PALIC
—
01
—
RX76715
UIA
—
Enumeration date
12/12/2005
Last updated
08/22/2020
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