Individual
DR. EDGARD REINALDO MARTINEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. PH. D
Contact information
Practice address
GENERAL VALERO AVENUE, SUITE 313A SECOND LEVEL, FAJARDO, PR 00738-1464
(787) 632-5909
(787) 860-1463
Mailing address
PO BOX 1464, P.O. BOX 1464, FAJARDO, PR 00738-1464
(787) 632-5909
(787) 860-1463
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
689
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689 LICENCE
CLINICAL PSYCHOLOGIST
PR
Enumeration date
04/17/2007
Last updated
07/08/2007
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