Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 8762 | PR |
NPI | 1023007523 |
---|---|
Provider Name | Dr. Roberto Martinez Quintana |
First Address | San Juan, PR 00919-2175 |
Second Address | Hato Rey, PR 00917-5022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 16/12/2009 |