Provider Demographics
NPI:1083679716
Name:MARTINEZ APONTE, RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:MARTINEZ APONTE
Suffix:
Gender:M
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:PO BOX 800940
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0940
Mailing Address - Country:US
Mailing Address - Phone:787-616-8438
Mailing Address - Fax:787-837-1051
Practice Address - Street 1:AVE. LUIS MUNOZ RIVERA #29
Practice Address - Street 2:SUITE 2
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-837-1051
Practice Address - Fax:787-837-1051
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14488208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21129Medicare ID - Type Unspecified
H71040Medicare UPIN