Provider Demographics
NPI:1033703004
Name:NEVAREZ MARTINEZ, SHERLY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERLY
Middle Name:ANNE
Last Name:NEVAREZ MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 PASEO FELICIDAD
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-3750
Mailing Address - Country:US
Mailing Address - Phone:787-904-1831
Mailing Address - Fax:
Practice Address - Street 1:32 PASEO FELICIDAD
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-3750
Practice Address - Country:US
Practice Address - Phone:787-904-1831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-21
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23448208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice