Doctor Name: | DR. CARMEN L. MARTIN |
NPI Number: | 1306883459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 14447 |
Business Practice Address: | Hospital De La Concepcion Carr. # 2 Bo Cain Bajo San German, PR - 00683 |
Business Phone Number: | 7878921860 |
Business Fax Number: | |
Mailing Address: | 197 Monserrate Ct, Apto608 HORMIGUEROS |
State: | PR |
Postal Code: | 006601873 |
Phone Number: | 7878493543 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |