Provider Demographics
NPI:1942219829
Name:MARTINEZ ROMERO, PALMIRA ROSA (MD)
Entity Type:Individual
Prefix:DR
First Name:PALMIRA
Middle Name:ROSA
Last Name:MARTINEZ ROMERO
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 1:267 CALLE JILGUERO
Mailing Address - Street 2:MONTEHIEDRA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7109
Mailing Address - Country:US
Mailing Address - Phone:787-785-7331
Mailing Address - Fax:787-786-4543
Practice Address - Street 1:CARIMED PLZ # 306
Practice Address - Street 2:SANTA CRUZ B-1
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6928
Practice Address - Country:US
Practice Address - Phone:787-785-7331
Practice Address - Fax:787-786-4543
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11650174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41201Medicare UPIN