| Doctor Name: | DR. EDWIN MARTINEZ |
| NPI Number: | 1205939394 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 15760 |
| Business Practice Address: | St.1 B55 Villas De Loiza Farmacia Medina 2 Canovanas, PR - 00729 |
| Business Phone Number: | 7878863900 |
| Business Fax Number: | |
| Mailing Address: | 96 Calle Fidel Velez, Ext San Isidro SABANA GRANDE |
| State: | PR |
| Postal Code: | 006372019 |
| Phone Number: | 7878567169 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |