Provider Demographics
NPI:1346382421
Name:MARTINEZ ROJAS, SELMA
Entity Type:Individual
Prefix:
First Name:SELMA
Middle Name:
Last Name:MARTINEZ ROJAS
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 1:138 AVE WINSTON CHURCHILL
Mailing Address - Street 2:PMB-871
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6013
Mailing Address - Country:US
Mailing Address - Phone:787-761-8383
Mailing Address - Fax:787-748-2065
Practice Address - Street 1:HOSPITAL SAN GERARDO
Practice Address - Street 2:CARR. 844, KM. 0.5
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928
Practice Address - Country:US
Practice Address - Phone:787-761-8383
Practice Address - Fax:787-748-2065
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR117682081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG-41683Medicare UPIN
PR8-7714Medicare ID - Type Unspecified