Provider Demographics
NPI:1760450795
Name:POU MARTINEZ, ANTONIO C (MD,FACOG)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:C
Last Name:POU MARTINEZ
Suffix:
Gender:M
Credentials:MD,FACOG
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:ASHFORD MEDICAL CTR
Mailing Address - Street 2:ST 206
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1510
Mailing Address - Country:US
Mailing Address - Phone:787-722-1104
Mailing Address - Fax:787-723-8854
Practice Address - Street 1:ASHFORD MEDICAL CTR
Practice Address - Street 2:ST 206
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1510
Practice Address - Country:US
Practice Address - Phone:787-722-1104
Practice Address - Fax:787-723-8854
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6456207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology