Provider Demographics
NPI:1023584182
Name:MARTINEZ, NAYLU NOHERRY (MSW, MD)
Entity type:Individual
Prefix:DR
First Name:NAYLU
Middle Name:NOHERRY
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MSW, MD
Other - Prefix:
Other - First Name:NAYLU
Other - Middle Name:NOHERRY
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, MD
Mailing Address - Street 1:C15 VILLAS DE LOIZA Q37
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-967-6933
Mailing Address - Fax:
Practice Address - Street 1:C15 VILLAS DE LOIZA Q37
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-967-6933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR139361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical