Provider Demographics
NPI:1477794626
Name:MARTINEZ-ROBLES, YESENIA
Entity Type:Individual
Prefix:DR
First Name:YESENIA
Middle Name:
Last Name:MARTINEZ-ROBLES
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:E9 CALLE 3
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-2309
Mailing Address - Country:US
Mailing Address - Phone:787-847-5095
Mailing Address - Fax:
Practice Address - Street 1:AVE LUIS MUNOZ MARIN
Practice Address - Street 2:CARR 155 RAMAL SECT DESVIO
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-0000
Practice Address - Country:US
Practice Address - Phone:787-867-5881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17266208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice