Provider Demographics
NPI:1851790224
Name:MARTINEZ MARRERO, YARIMAR (OTL)
Entity Type:Individual
Prefix:
First Name:YARIMAR
Middle Name:
Last Name:MARTINEZ MARRERO
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 CALLE PEREIRA LEAL
Mailing Address - Street 2:CONDOMINIO TUREY APT. 303
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-1549
Mailing Address - Country:US
Mailing Address - Phone:787-568-1999
Mailing Address - Fax:
Practice Address - Street 1:1775 LITHEDA HEIGHTS CARRETERA 844
Practice Address - Street 2:BO CUPEY BAJO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-1500
Practice Address - Country:US
Practice Address - Phone:787-998-3665
Practice Address - Fax:787-998-3673
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1141225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1141OtherNUMERO DE LICENCIA DEPARTAMENTO DE SALUD DE PR