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NPI Code Detail

MEDICARE: DR. DIANA P MARTINEZ M.D.

MEDICARE:  DR. DIANA P 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
1207W00000XOphthalmology Physician8224PR

General Provider Information

NPI Number : 1417998097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA P MARTINEZ M.D.
Provider Business Mailing Address
First Line : 112 CALLE ARZUAGA
Second Line : SUITE 802
City : RIO PIEDRAS
State : PR
Zip : 00925-3321
Country : US
Telephone Number : 787-767-6915
Fax Number : 787-765-4140
Provider Business Practice Location Address
First Line : 112 CALLE ARZUAGA
Second Line : SUITE 802
City : RIO PIEDRAS
State : PR
Zip : 00925-3321
Country : US
Telephone Number : 787-767-6915
Fax Number : 787-765-4140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 02/23/2017

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Directions to “ DR. DIANA P MARTINEZ M.D.” Practice Location

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