Individual
GUSTAVO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BETANCES #5, MANATI, PR 00674
(787) 854-7728
(787) 854-9071
Mailing address
PO BOX 968, MANATI, PR 00674
(787) 854-7728
(787) 854-9071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2224
PR
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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