Individual
EDGARDO DAVID MARTINEZ MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CENTRO MEDICO DE PUERTO RICO, SAN JUAN, PR 00935-0001
(787) 777-3535
Mailing address
PO BOX 70344, PMB 498, SAN JUAN, PR 00936
(787) 480-5856
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
21474
PR
208100000X
Physical Medicine & Rehabilitation Physician
Primary
21474
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
06/18/2017
Last updated
08/29/2022
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