Individual
DR. JORGE L MARTINEZ TRABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS STE 602, PONCE, PR 00716-4728
(787) 651-1429
(787) 651-1430
Mailing address
604 CALLE FELIPE, MANSION REAL, COTO LAUREL, PR 00780-2640
(787) 651-1429
(787) 651-1430
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
14241
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028195
—
PR
Enumeration date
05/09/2007
Last updated
08/24/2010
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