Provider Demographics
NPI:1881342418
Name:GARCIA MARTINEZ, LUIS F
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:F
Last Name:GARCIA MARTINEZ
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 1:267 CALLE JILGUERO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7109
Mailing Address - Country:US
Mailing Address - Phone:787-362-7664
Mailing Address - Fax:
Practice Address - Street 1:267 CALLE JILGUERO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7109
Practice Address - Country:US
Practice Address - Phone:787-362-7664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program