Provider Demographics
NPI:1609395144
Name:MARTINEZ SEMIDEY, ALBETTE (MLS)
Entity Type:Individual
Prefix:
First Name:ALBETTE
Middle Name:
Last Name:MARTINEZ SEMIDEY
Suffix:
Gender:F
Credentials:MLS
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 10076
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-0076
Mailing Address - Country:US
Mailing Address - Phone:787-604-5186
Mailing Address - Fax:
Practice Address - Street 1:B4 CALLE QUETZAL
Practice Address - Street 2:BO.CANAS SECTOR PUNTA DIAMANTE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-604-5186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-15
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
7707246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical TechnologistGroup - Single Specialty