Provider Demographics
NPI:1700872215
Name:MARTINEZ, ANA H (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:H
Last Name:MARTINEZ
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:PO BOX 213
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-0213
Mailing Address - Country:US
Mailing Address - Phone:787-704-0415
Mailing Address - Fax:787-704-0435
Practice Address - Street 1:LAS CATALINAS MALL
Practice Address - Street 2:CARIBBEAN CINEMAS BUILD. OFFICE 204
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5200
Practice Address - Country:US
Practice Address - Phone:787-704-0415
Practice Address - Fax:787-704-0435
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12276207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0090194Medicare ID - Type Unspecified
PRG99099Medicare UPIN