Individual
NATHANIEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 CARR 2 # 103, VEGA ALTA, PR 00692-6073
(787) 224-7757
Mailing address
AH11 CALLE 39, BAYAMON, PR 00956-4739
(787) 233-5870
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7823
PR
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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