Individual
MRS. JACQUELINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ACUAMARINA #66 URB. VILLA BLANCA, CAGUAS, PR 00725
(787) 743-1047
Mailing address
EXT. JARDINES DE BARCELONA #13 CALLE 9-A, JUNCOS, PR 00777
(939) 640-2523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001552
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000000000
ANOTHER
PR
Enumeration date
05/23/2007
Last updated
07/08/2007
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