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General NPI Number Information
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NPI Number | 1356742563
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Entity Type | Individual
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Provider Name | NAMYR ANTONIO MARTINEZ MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2014
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | BARRIO MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00935-2648
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Country | US
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Telephone | 787-777-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CALLE AMAPOLA # 904
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone |
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Fax | 888-367-1898
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD046140
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License Number State | DC
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