Individual
JUAN R MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
G5 CALLE MARGINAL, URB VISTA AZUL, ARECIBO, PR 00612-2546
(787) 817-0573
(787) 816-0219
Mailing address
PO BOX 142529, ARECIBO, PR 00614-2529
(787) 817-0573
(787) 816-0219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12748
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11603
GLOBAL HEALTH PLAN
PR
01
—
1912914391
FIRST MEDICAL
PR
01
—
6120152
HUMANA
PR
01
—
89544
SSS
PR
01
—
PE3625
PAN AMERICAN LIFE
PR
Enumeration date
08/01/2006
Last updated
09/26/2012
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