Provider Demographics
NPI:1548223217
Name:MARTINEZ-TORRES, MIRIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:
Last Name:MARTINEZ-TORRES
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 270207
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-3007
Mailing Address - Country:US
Mailing Address - Phone:787-286-2318
Mailing Address - Fax:787-263-0987
Practice Address - Street 1:HOSPITAL AREA DE CAYEY
Practice Address - Street 2:LUIS BARRERAS ST. # 174 URB. APONTE
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-0987
Practice Address - Fax:787-263-0987
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13419207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21458Medicare ID - Type Unspecified
PRH-83510Medicare UPIN