Healthcare Provider Details

I. General information

NPI: 1114441607
Provider Name (Legal Business Name): SORAYA ABDUL-HADI MARTINEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYAMON MEDICAL CENTER OUTPATIENT CENTER OFFICE 910 KM 11.7 PR-2
BAYAMON PR
00959
US

IV. Provider business mailing address

PO BOX 260086
SAN JUAN PR
00926-2617
US

V. Phone/Fax

Practice location:
  • Phone: 787-474-8282
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number23314
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number23314
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: