Provider Demographics
NPI:1225284813
Name:MARTINEZ ALBINO, YAMIRMARIE (MD)
Entity Type:Individual
Prefix:
First Name:YAMIRMARIE
Middle Name:
Last Name:MARTINEZ ALBINO
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:PO BOX 1335
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-7002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR 159 KM 15.2
Practice Address - Street 2:BO PUEBLO CALLE IDILIO
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783-7002
Practice Address - Country:US
Practice Address - Phone:787-859-5869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17219208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice