Individual
DR. ELISEO MARTINEZ - GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10 CALLE CANDINA, APT 7-A, SAN JUAN, PR 00907-1404
(787) 722-0386
Mailing address
PO BOX 366008, SAN JUAN, PR 00936-6008
(787) 722-0386
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
593
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40572
TRIPLE-S PROVIDER ID
PR
Enumeration date
10/31/2007
Last updated
10/31/2007
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