Individual
DR. MYRA I MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CALLE G-16 ALTOS, URB. FLAMBOYAN, MANATI, PR 00674
(787) 854-7560
Mailing address
PO BOX 348, MANATI, PR 00674-0348
(787) 854-7560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1027
PR
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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