Provider Demographics
NPI:1649091190
Name:MARTE, VICTOR
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:MARTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 FRYE RD
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5613
Mailing Address - Country:US
Mailing Address - Phone:978-973-3305
Mailing Address - Fax:
Practice Address - Street 1:26 FRYE RD
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5613
Practice Address - Country:US
Practice Address - Phone:978-973-3305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)