Provider Demographics
NPI:1376290353
Name:MARTINEZ RAMOS, JOSE JULIAN
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:JULIAN
Last Name:MARTINEZ RAMOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 AVE MUNOZ RIVERA APT 1501
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1641
Mailing Address - Country:US
Mailing Address - Phone:787-420-0568
Mailing Address - Fax:
Practice Address - Street 1:48 AVE MUNOZ RIVERA APT 1501
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1641
Practice Address - Country:US
Practice Address - Phone:787-420-0568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program