Healthcare Provider Details

I. General information

NPI: 1154263218
Provider Name (Legal Business Name): MARTINEZ MED SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B23 CALLE 3
SAN GERMAN PR
00683-4673
US

IV. Provider business mailing address

B23 CALLE 3
SAN GERMAN PR
00683-4673
US

V. Phone/Fax

Practice location:
  • Phone: 787-214-2170
  • Fax:
Mailing address:
  • Phone: 787-214-2170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: YARISEL MARTINEZ COLLADO
Title or Position: MD
Credential: MD
Phone: 787-214-2170