Provider Demographics
NPI:1932327962
Name:MARTINEZ, SARIBEL (RPH)
Entity Type:Individual
Prefix:
First Name:SARIBEL
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CARR 181
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-3600
Mailing Address - Country:US
Mailing Address - Phone:787-755-7710
Mailing Address - Fax:787-755-7710
Practice Address - Street 1:200 CARR 181
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3600
Practice Address - Country:US
Practice Address - Phone:787-755-7710
Practice Address - Fax:787-755-7710
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist