Provider Demographics
NPI:1902008352
Name:MARTINEZ GONZALEZ, HECTOR JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JAVIER
Last Name:MARTINEZ GONZALEZ
Suffix:
Gender:M
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:PO BOX 3161
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3161
Mailing Address - Country:US
Mailing Address - Phone:787-652-1629
Mailing Address - Fax:787-652-9238
Practice Address - Street 1:MAYAGUEZ MEDICAL CENTER
Practice Address - Street 2:SUITE 114N
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-652-1629
Practice Address - Fax:787-652-9238
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16823207R00000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease