MEDICARE: DR. ROBERTO MARTINEZ QUINTANA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	8762	PR

General Provider Information

NPI Number	:	1023007523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO MARTINEZ QUINTANA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 192175
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00919-2175
Country	:	US
Telephone Number	:	787-756-8480
Fax Number	:	787-764-3843

Provider Business Practice Location Address
First Line	:	735 PONCE DE LEON AVE
Second Line	:	SUITE 501
City	:	HATO REY
State	:	PR
Zip	:	00917-5022
Country	:	US
Telephone Number	:	787-756-8480
Fax Number	:	787-764-3843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	12/16/2009

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Directions to “ DR. ROBERTO MARTINEZ QUINTANA M.D.” Practice Location

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