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General NPI Number Information
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NPI Number | 1396545554
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Entity Type | Organization
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Legal Business Name | MARTINEZ MACHADO MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | #42 CALLE LUNA
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 939-288-9901
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2151
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City | SAN GERMAN
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State | PR
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Zip | 00683-2151
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. GRETTZEL MACHADO MORALES
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Credential | MD
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Telephone | 939-288-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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