Provider Demographics
NPI:1003114299
Name:ROMERO MARTINEZ, MARIA V (MPT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:V
Last Name:ROMERO MARTINEZ
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29676
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0676
Mailing Address - Country:US
Mailing Address - Phone:787-479-1901
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 190 KM 1.6 CALLEJON RAMOS BARRIO SABANA ABAJO
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-479-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1409225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist