Provider Demographics
NPI:1801852868
Name:MARTINO, MARGARITA SOFIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:SOFIA
Last Name:MARTINO
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:BO TORTUGO
Mailing Address - Street 2:APT. 96
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9769
Mailing Address - Country:US
Mailing Address - Phone:787-708-3802
Mailing Address - Fax:
Practice Address - Street 1:400 CORDOBA PARK/BO TORTUGO ST.
Practice Address - Street 2:APT. 96
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-9769
Practice Address - Country:US
Practice Address - Phone:787-708-3802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15955207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine