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Individual

ANTONIO MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 AVE DOMENECH, LAS AMERICAS PROFESSIONAL CENTER SUITE 510, SAN JUAN, PR 00918-3710
(787) 765-4900
Mailing address
400 AVE DOMENECH, LAS AMERICAS PROFESSIONAL CENTER SUITE 510, SAN JUAN, PR 00918-3710
(787) 765-4900

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8520
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
067407
CRUZ AZUL DE PR
PR
01
17645
PROSSAM
PR
01
209118
PREFERRED HEALTH
PR
01
3592
FIRST MEDICAL
PR
01
378520
UIA
PR
01
80411
TRIPLE S
PR
01
9080033
HUMANA HEALTH PLAN
PR
01
PE2656
PALIC PROVIDER
PR
Enumeration date
06/30/2006
Last updated
07/09/2007
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