Healthcare Provider Details

I. General information

NPI: 1215850573
Provider Name (Legal Business Name): JEREMY STEVE MARTINEZ TOLEDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 173.4 HOSPITAL DE LA CONCEPCION
SAN GERMAN PR
00683
US

IV. Provider business mailing address

16000 CARR 102 APT 702
CABO ROJO PR
00623-9604
US

V. Phone/Fax

Practice location:
  • Phone: 787-892-1860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number25153
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25153
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: