Doctor Name: | DR. SCAR A. MARTINEZ |
NPI Number: | 1790903326 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14034 |
Business Practice Address: | 410 Ave Hostos Mayaguez, PR - 006821560 |
Business Phone Number: | 7878330663 |
Business Fax Number: | |
Mailing Address: | 58 Calle Francisco Galanes, MAYAGUEZ |
State: | PR |
Postal Code: | 006805217 |
Phone Number: | 7878056027 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |