Individual
MARIELA RAQUEL MARTINEZ-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
909 AVE TITO CASTRO STE 710-711, PONCE, PR 00716-4728
(917) 794-5710
Mailing address
909 AVE TITO CASTRO STE 710-711, PONCE, PR 00716-4728
(917) 794-5710
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
024302
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024302
STATE LICENSE
PR
Enumeration date
09/01/2016
Last updated
10/15/2025
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