Provider Demographics
NPI:1740933506
Name:DR. EDUARDO A. MARTINEZ DBA
Entity type:Organization
Organization Name:DR. EDUARDO A. MARTINEZ DBA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:MARTINEZ-MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-550-6855
Mailing Address - Street 1:PO BOX 8010
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-8010
Mailing Address - Country:US
Mailing Address - Phone:787-831-0460
Mailing Address - Fax:787-652-4560
Practice Address - Street 1:310 AVE HOSTOS STE 201
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-2522
Practice Address - Country:US
Practice Address - Phone:787-831-0460
Practice Address - Fax:787-652-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty