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NPI Code Detail

MEDICARE: LUIS A MARTINEZ-RIVERA MD

MEDICARE: LUIS A MARTINEZ-RIVERA 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
1207Q00000XFamily Medicine Physician12691PR

General Provider Information

NPI Number : 1952378150
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS A MARTINEZ-RIVERA MD
Provider Business Mailing Address
First Line : 991 AVE BARBOSA
Second Line : APTO. E-2
City : SAN JUAN
State : PR
Zip : 00923-2201
Country : US
Telephone Number : 787-763-7042
Fax Number : 787-869-1800
Provider Business Practice Location Address
First Line : 2020 AVE BORINQUEN
Second Line :
City : SAN JUAN
State : PR
Zip : 00915-3822
Country : US
Telephone Number : 787-268-4171
Fax Number : 787-727-3695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 04/23/2013

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Directions to “ LUIS A MARTINEZ-RIVERA MD” Practice Location

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