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1740933506 NPI number — DR. EDUARDO A. MARTINEZ DBA

NPI Number: 1740933506
Health Care Provider/Practitioner: DR. EDUARDO A. MARTINEZ DBA

Information about “1740933506” NPI (DR. EDUARDO A. MARTINEZ DBA) exists in 1740933506 in HTML format HTML  |  1740933506 in plain Text format TXT  |  1740933506 in PDF (Portable Document Format) PDF  |  1740933506 in an XML format XML  formats.

NPI Number : 1740933506 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740933506",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DR. EDUARDO A. MARTINEZ DBA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 8010",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAYAGUEZ",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00681-8010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-831-0460",
    "MailingAddressFaxNumber": "787-652-4560",
    "FirstLinePracticeLocationAddress": "310 AVE HOSTOS STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MAYAGUEZ",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00682-2522",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-831-0460",
    "PracticeLocationAddressFaxNumber": "787-652-4560",
    "EnumerationDate": "02/01/2022",
    "LastUpdateDate": "02/01/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARTINEZ-MARTINEZ",
    "AuthorizedOfficialFirstName": "EDUARDO",
    "AuthorizedOfficialMiddleName": "ANTONIO",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "787-550-6855",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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