Individual
ROSA YOLANDA MARTINEZ JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1452 CALLE HUMACAO, SAN JUAN, PR 00909-2632
(787) 308-9492
Mailing address
116 CALLE PRUDENCIO, HATO REY, PR 00917
(787) 308-9492
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
80908
PR
163WG0000X
General Practice Registered Nurse
80908-G
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80908-G
NURSE LICENSE
PR
Enumeration date
01/28/2020
Last updated
01/29/2020
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