Provider Demographics
NPI:1639255680
Name:MARTINEZ, SILMA L (MD)
Entity Type:Individual
Prefix:MRS
First Name:SILMA
Middle Name:L
Last Name:MARTINEZ
Suffix:
Gender:F
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:PARAISO CAROLINA #201
Mailing Address - Street 2:CALLE BESO DE MAR
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-6901
Mailing Address - Country:US
Mailing Address - Phone:787-640-0209
Mailing Address - Fax:
Practice Address - Street 1:CALLE PIMENTEL #16
Practice Address - Street 2:BARRIO LAS FLORES
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-888-0480
Practice Address - Fax:787-888-0484
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15523208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics