Provider Demographics
NPI:1053818609
Name:MARTINEZ, NEYLA MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEYLA
Middle Name:MARIE
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:PHARMD
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 715
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00954-0715
Mailing Address - Country:US
Mailing Address - Phone:787-604-2227
Mailing Address - Fax:
Practice Address - Street 1:996 CALLE SAN ROBERTO EDIF 5 SUITE 301
Practice Address - Street 2:APS HEALTH PROFESSIONAL OFFICE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-641-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6333183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist