Doctor Name: | MRS. NITZA MARTINEZ FERNANDEZ |
NPI Number: | 1164575668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 6617 |
Business Practice Address: | Avenida Principal 94 Barrio Bajadero Arecibo, PR - 006160799 |
Business Phone Number: | 7878813325 |
Business Fax Number: | 7878813325 |
Mailing Address: | Po Box 477, ARECIBO |
State: | PR |
Postal Code: | 006130477 |
Phone Number: | 7878813325 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 02/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |