Individual
LIDYNELL MARIE BURGOS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2246 COND VISTA REAL II, CAGUAS, PR 00727-7854
(787) 214-6940
Mailing address
2246 COND VISTA REAL II, CAGUAS, PR 00727-7854
(787) 214-6940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24440
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/06/2021
Last updated
07/22/2025
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