MEDICARE: DR. DAVID E. MARTINEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	6079	PR
2	207RR0500X	Rheumatology Physician	6079	PR

General Provider Information

NPI Number	:	1184613754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID E. MARTINEZ M.D.

Provider Business Mailing Address
First Line	:	138 AVE WINSTON CHURCHILL
Second Line	:	MSC 753
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6013
Country	:	US
Telephone Number	:	787-768-8944
Fax Number	:	787-768-8944

Provider Business Practice Location Address
First Line	:	4ES5 VIA LETICIA
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00983-4807
Country	:	US
Telephone Number	:	787-768-8944
Fax Number	:	787-768-8944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	08/15/2013

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Directions to “ DR. DAVID E. MARTINEZ M.D.” Practice Location

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