| Doctor Name: | CARLOS ROMUALDO MARTINEZ |
| NPI Number: | 1346465911 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 37LC00027400 |
| Business Practice Address: | 548 Main St Suite 1 South Amboy, NJ - 088791262 |
| Business Phone Number: | 7323162391 |
| Business Fax Number: | 7323162348 |
| Mailing Address: | 548 Main St, SOUTH AMBOY |
| State: | NJ |
| Postal Code: | 088791262 |
| Phone Number: | 7323162391 |
| Fax Number: | 7323162348 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 10/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00027400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |