Provider Demographics
NPI:1629667423
Name:NATALIA MARTINEZ GODAS PSC
Entity Type:Organization
Organization Name:NATALIA MARTINEZ GODAS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ GODAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-550-7456
Mailing Address - Street 1:1503 ASHFORD AVE APT 8C
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911-1136
Mailing Address - Country:US
Mailing Address - Phone:787-550-7456
Mailing Address - Fax:
Practice Address - Street 1:1 ARBOLOTE ST. STE.205
Practice Address - Street 2:PLAZA REAL SHOPPING CTR.
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-567-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental