MEDICARE: DR. MARTIN IGLESIAS 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	146D00000X	Personal Emergency Response Attendant	15241	PR

General Provider Information

NPI Number	:	1710002753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN IGLESIAS M.D.,

Provider Business Mailing Address
First Line	:	1344 CALLE DECATUR
Second Line	:	SECOND FLOOR
City	:	SAN JUAN
State	:	PR
Zip	:	00920-3738
Country	:	US
Telephone Number	:	787-783-8379
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 CALLE ARZUAGA
Second Line	:	OFFICE #606
City	:	SAN JUAN
State	:	PR
Zip	:	00925-3321
Country	:	US
Telephone Number	:	787-764-8296
Fax Number	:

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/09/2007

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