Provider Demographics
NPI:1326396573
Name:MARTINEZ, MARIA CRISTINA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CRISTINA
Last Name:MARTINEZ
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 1:10 FLAMINGO APARTMENTS
Mailing Address - Street 2:APT. #8302
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-4322
Mailing Address - Country:US
Mailing Address - Phone:787-356-1834
Mailing Address - Fax:
Practice Address - Street 1:10 FLAMINGO APARTMENTS
Practice Address - Street 2:APT #8302
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-4322
Practice Address - Country:US
Practice Address - Phone:787-356-1834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program