Individual
DR. DIANE MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
560 CALLE NAPOLES, APT.4-D, SAN JUAN, PR 00924-4072
(787) 761-8621
Mailing address
560 CALLE NAPOLES, APT.4-D, SAN JUAN, PR 00924-4072
(787) 761-8621
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
015446
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015446
STATE LICENSE
PR
Enumeration date
05/16/2007
Last updated
07/08/2007
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