=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790412690
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SOLMARIE MARTINEZ ORTIZ MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/02/2022
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | YAUCO PLAZA 2 LOCAL #23
-----------------------------------------------------
City | YAUCO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00698
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-228-2223
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | HC 2 BOX 373
-----------------------------------------------------
City | YAUCO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00698-9641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-217-3744
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | 22888
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------