Provider Demographics
NPI:1275573370
Name:MARTINEZ DEL TORO, MANUEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:A
Last Name:MARTINEZ DEL TORO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3310
Mailing Address - Street 2:MARINA STATION
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3310
Mailing Address - Country:US
Mailing Address - Phone:787-833-2135
Mailing Address - Fax:787-833-2135
Practice Address - Street 1:CALLE MCKINLEY W # 114
Practice Address - Street 2:SUITE 201
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-3988
Practice Address - Country:US
Practice Address - Phone:787-833-2135
Practice Address - Fax:787-833-2135
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10694225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF30911Medicare UPIN
PR82935Medicare ID - Type Unspecified