Healthcare Provider Details

I. General information

NPI: 1033000690
Provider Name (Legal Business Name): PATRICIA MARTINEZ GALIB DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AVE. ROOSEVELT SUITE 505
SAN JUAN PR
00918
US

IV. Provider business mailing address

61 CALLE PRINCIPE RAINIERO
GUAYNABO PR
00969-5329
US

V. Phone/Fax

Practice location:
  • Phone: 787-250-5055
  • Fax:
Mailing address:
  • Phone: 787-602-4797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3604
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number3604
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: