Healthcare Provider Details

I. General information

NPI: 1619892049
Provider Name (Legal Business Name): ASBEL MARTINEZ
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1356 CALLE 16 NW
SAN JUAN PR
00920-2236
US

IV. Provider business mailing address

1356 CALLE 16 NW
SAN JUAN PR
00920-2236
US

V. Phone/Fax

Practice location:
  • Phone: 787-587-6901
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1659
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: