Provider Demographics
NPI:1568815306
Name:SANTIAGO MARTINEZ, JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:SANTIAGO MARTINEZ
Suffix:
Gender:M
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:HC 74 BOX 6669
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-9111
Mailing Address - Country:US
Mailing Address - Phone:939-269-3775
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 KM 47.7
Practice Address - Street 2:TORRE MEDICA 1, EDIF DR. PEDRO BLANCO LUGO SUITE 316
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-2445
Practice Address - Fax:787-854-2636
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-17
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21923207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology