MEDICARE: ANGEL MARTINEZ

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	2084P0800X	Psychiatry Physician	20744	PR
2	2084P0804X	Child & Adolescent Psychiatry Physician	20744	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235458753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL MARTINEZ

Provider Business Mailing Address
First Line	:	URB CONDADO VIEJO H17
Second Line	:	CALLE JOSE VILLARES
City	:	CAGUAS
State	:	PR
Zip	:	00725-2463
Country	:	US
Telephone Number	:	787-510-6187
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB CONDADO VIEJO H17
Second Line	:	CALLE JOSE VILLARES
City	:	CAGUAS
State	:	PR
Zip	:	00725-2463
Country	:	US
Telephone Number	:	787-510-6187
Fax Number	:	787-993-1656

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

Provider Enumeration Date	:	05/24/2010
Last Update Date	:	02/04/2026

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Directions to “ ANGEL MARTINEZ ” Practice Location

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