Healthcare Provider Details

I. General information

NPI: 1790412690
Provider Name (Legal Business Name): SOLMARIE MARTINEZ ORTIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

YAUCO PLAZA 2 LOCAL #23
YAUCO PR
00698
US

IV. Provider business mailing address

HC 2 BOX 373
YAUCO PR
00698-9641
US

V. Phone/Fax

Practice location:
  • Phone: 939-228-2223
  • Fax:
Mailing address:
  • Phone: 939-217-3744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number22888
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: