Provider Demographics
NPI:1073099131
Name:MARTES BERMUDEZ, ANA ISABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:ISABEL
Last Name:MARTES BERMUDEZ
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 1:3088 RIO MINILLAS
Mailing Address - Street 2:PRADERA DEL RIO
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-349-5642
Mailing Address - Fax:
Practice Address - Street 1:100 AVENIDA LAUREL
Practice Address - Street 2:HOSPITAL UNIVERSITARIO RAMON RUIZ ARNAU
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33902R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine