Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 17608 | PR |
N | 111NI0900X | Internist | 17608 | PR |
Y | 207RG0300X | Geriatric Medicine | 17608 | PR |
N | 207RH0002X | Hospice and Palliative Medicine | 17608 | PR |
NPI | 1093985160 |
---|---|
Provider Name | Ruth N Martinez-Camacho |
First Address | Mayaguez, PR 00682 |
Second Address | Mayaguez, PR 00682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2008 |
Last Update Date | 25/01/2017 |