Individual
GILBERTO MIGUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARRETERA 14 #154, AVE. TITO CASTRO, PONCE, PR 00732
(787) 840-6935
(787) 844-4130
Mailing address
PO BOX 7321, PONCE, PR 00732-7321
(787) 840-6935
(787) 844-4130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1227546
SUBSTANCE ABUSE TREATMENT
PR
Enumeration date
08/20/2010
Last updated
08/20/2010
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