Provider Demographics
NPI:1043463730
Name:MARTE, ISY
Entity Type:Individual
Prefix:MISS
First Name:ISY
Middle Name:
Last Name:MARTE
Suffix:
Gender:F
Credentials:
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 579
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0579
Mailing Address - Country:US
Mailing Address - Phone:787-285-3978
Mailing Address - Fax:
Practice Address - Street 1:AVE FONT MARTELO CENT CENTRO COMERCIAL HUMACAO LOCAL 2
Practice Address - Street 2:CENTRO DE PATOLOGIA DEL HABLA Y AUDICION
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-285-3978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00596231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist