MEDICARE: SARIBEL MARTINEZ RPH

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	183500000X	Pharmacist	4018	PR

General Provider Information

NPI Number	:	1932327962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARIBEL MARTINEZ RPH

Provider Business Mailing Address
First Line	:	200 CARR 181
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-3600
Country	:	US
Telephone Number	:	787-755-7710
Fax Number	:	787-755-7710

Provider Business Practice Location Address
First Line	:	200 CARR 181
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-3600
Country	:	US
Telephone Number	:	787-755-7710
Fax Number	:	787-755-7710

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/08/2007

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Directions to “ SARIBEL MARTINEZ RPH” Practice Location

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