Provider Demographics
NPI:1740287762
Name:MARTI LON, MARIA DEL PILAR (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL PILAR
Last Name:MARTI LON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 CALLE ACOSTA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-2646
Mailing Address - Country:US
Mailing Address - Phone:787-743-7334
Mailing Address - Fax:787-743-4090
Practice Address - Street 1:10 CALLE ACOSTA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2646
Practice Address - Country:US
Practice Address - Phone:787-743-7334
Practice Address - Fax:787-743-4090
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR8496207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD32365Medicare UPIN