Healthcare Provider Details

I. General information

NPI: 1184705691
Provider Name (Legal Business Name): SYLVIA ANNETTE MARTIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ASEM CENTRO MEDICO CARR 22 BO. MONACILLOS
SAN JUAN PR
00935-0001
US

IV. Provider business mailing address

STREET 1 K 17 URB. VALPARAISO
TOA BAJA PR
00949
US

V. Phone/Fax

Practice location:
  • Phone: 787-777-3535
  • Fax: 787-777-3726
Mailing address:
  • Phone: 787-379-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number15897
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: