Healthcare Provider Details

I. General information

NPI: 1649947300
Provider Name (Legal Business Name): ZULERMY ISABEL MARTINEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 08/30/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND BRISAS DE YAUCO 99 MD GUZMAN APT 131
YAUCO PR
00698-3272
US

IV. Provider business mailing address

388 ZONA IND REPARADA 2
PONCE PR
00716-2347
US

V. Phone/Fax

Practice location:
  • Phone: 787-236-9969
  • Fax:
Mailing address:
  • Phone: 787-812-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number90544
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: