Provider Demographics
NPI:1598544793
Name:MARTINEZ APONTE, RAUL LUIS
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:LUIS
Last Name:MARTINEZ APONTE
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 1:322B CALLE CLEMSON
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4022
Mailing Address - Country:US
Mailing Address - Phone:813-777-3563
Mailing Address - Fax:
Practice Address - Street 1:322B CALLE CLEMSON
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4022
Practice Address - Country:US
Practice Address - Phone:813-777-3563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program