Provider Demographics
NPI:1720504848
Name:MARTINEZ-GARRI, MARINELLY (MD)
Entity Type:Individual
Prefix:
First Name:MARINELLY
Middle Name:
Last Name:MARTINEZ-GARRI
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 1:70 AVE ALAMANDA
Mailing Address - Street 2:COND. ALAMANDA APT 6184
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:787-242-5890
Mailing Address - Fax:787-242-5890
Practice Address - Street 1:LAS VISTAS SHOPPING VILLAGE
Practice Address - Street 2:300 AVE. FELISA RINCON DE GAUTIER, PR 199
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-936-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR228402084P0805X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry