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NPI Code Detail

MEDICARE: DR. RAFAEL ANTONIO MARTINEZ M.D.

MEDICARE:  DR. RAFAEL ANTONIO MARTINEZ  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
1208000000XPediatrics Physician2354PR

General Provider Information

NPI Number : 1891827127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFAEL ANTONIO MARTINEZ M.D.
Provider Business Mailing Address
First Line : 121 AVE ROOSVELT
Second Line : APT. 1404
City : SAN JUAN
State : PR
Zip : 00917-2725
Country : US
Telephone Number : 787-763-1456
Fax Number :
Provider Business Practice Location Address
First Line : 121 AVE FD ROOSEVELT
Second Line : APT. 1404
City : SAN JUAN
State : PR
Zip : 00917-2725
Country : US
Telephone Number : 787-763-1456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. RAFAEL ANTONIO MARTINEZ M.D.” Practice Location

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