Doctor Name: | DR. LUIS A MARTINEZ-RIVERA |
NPI Number: | 1093846875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 16657 |
Business Practice Address: | 300 Ave Dona Felisa Rincon De Ste 43 300 Ave Dona Felisa Rincon San Juan, PR - 009265970 |
Business Phone Number: | 7877615880 |
Business Fax Number: | 7877615880 |
Mailing Address: | Urb. Camino Del Sur, 338 Calle Carpintero PONCE |
State: | PR |
Postal Code: | 007162805 |
Phone Number: | 7872101011 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16657 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |