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General NPI Number Information
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NPI Number | 1629901608
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Entity Type | Organization
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Legal Business Name | MARTINEZFESHOLDID
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 371 CALLE DE DIEGO
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City | SAN JUAN
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State | PR
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Zip | 00923-3002
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Country | US
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Telephone | 787-767-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 900 CALLE HARVARD
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City | SAN JUAN
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State | PR
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Zip | 00927-4810
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Country | US
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Telephone | 787-402-5656
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN A MARTINEZ FESHOLD
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Credential | MD
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Telephone | 787-402-5656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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