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NPI Code Detail

MEDICARE: MR. GABRIEL MARTINEZ-RODRIGUEZ MD

MEDICARE:  MR. GABRIEL  MARTINEZ-RODRIGUEZ  MD
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
1207RI0200XInfectious Disease Physician11939PR

General Provider Information

NPI Number : 1023063104
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GABRIEL MARTINEZ-RODRIGUEZ MD
Provider Business Mailing Address
First Line : PO BOX 34239
Second Line :
City : PONCE
State : PR
Zip : 00734-0239
Country : US
Telephone Number : 787-813-1836
Fax Number : 787-813-1836
Provider Business Practice Location Address
First Line : SAN CRISTOBAL ANEXO TORRE I
Second Line :
City : PONCE
State : PR
Zip : 00780
Country : US
Telephone Number : 787-848-2100
Fax Number : 787-813-1836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 04/29/2010

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Directions to “ MR. GABRIEL MARTINEZ-RODRIGUEZ MD” Practice Location

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