Individual
DR. IVELISSE MARTINEZ MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 845 KM 2.2, D36 AVE FAIRVIEW, SAN JUAN, PR 00919-0091
(787) 761-0036
(787) 292-5050
Mailing address
PO BOX 193069, SAN JUAN, PR 00919-3069
(787) 761-0036
(787) 292-5050
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001487
PR
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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