Healthcare Provider Details

I. General information

NPI: 1942219829
Provider Name (Legal Business Name): PALMIRA ROSA MARTINEZ ROMERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 01/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARIMED PLZ # 306 SANTA CRUZ B-1
BAYAMON PR
00961-6928
US

IV. Provider business mailing address

267 CALLE JILGUERO MONTEHIEDRA
SAN JUAN PR
00926-7109
US

V. Phone/Fax

Practice location:
  • Phone: 787-785-7331
  • Fax: 787-786-4543
Mailing address:
  • Phone: 787-785-7331
  • Fax: 787-786-4543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number11650
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: