Doctor Name: | MR. RAFAEL MARTINEZ |
NPI Number: | 1013366418 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 4071 |
Business Practice Address: | 9 Paseo Del Cristo Dorado, PR - 006464999 |
Business Phone Number: | 7877961837 |
Business Fax Number: | |
Mailing Address: | J15 Calle Azules Del Mar, Dorado Del Mar DORADO |
State: | PR |
Postal Code: | 006462170 |
Phone Number: | 7875878895 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |