Provider Demographics
NPI:1598416026
Name:ADAIME MARTINEZ, JOSE JUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:JUAN
Last Name:ADAIME 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 1:2 CALLE HORTENSIA APT 14E
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6444
Mailing Address - Country:US
Mailing Address - Phone:787-314-9210
Mailing Address - Fax:
Practice Address - Street 1:AVE. PONCE DE LEON
Practice Address - Street 2:PARADA 37 1/2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00961-7052
Practice Address - Country:US
Practice Address - Phone:787-314-9210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22820208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist