Individual
JESSICA E. MARTINEZ MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CONSOLIDATED MALL ANEXO B 5, CAGUAS, PR 00726
(787) 704-0705
Mailing address
PO BOX 1135, CIDRA, PR 00739-1135
(939) 645-1395
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
75770G
PR
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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