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NPI:  1083743090
Entity Type:  Individual
Replacement NPI:  
EIN:  
Organization Name:  
Name:  ZAYDA R MARTINEZ M.D.
Other Organization Name:  
Other Organization Type:  
Other Name:
Other Last Name Type:  
Business Mailing Address:  7 CALLE SAN CARLOS, MANSIONES DE CALDAS SAN JUAN, PR 00926-5302 US
Business Telephone Number:  (787) 720-8321
Business Fax Number:
Practice Location Address:  7 CALLE SAN CARLOS, MANSIONES DE CALDAS SAN JUAN, PR 00926-5302 US
Practice Location Telephone Number:  (787) 720-8321
Practice Location Fax Number:
Enumeration Date:  03/05/2007
Last Update Date  04/09/2012
NPI Deactivation Reason:  
NPI Deactivation Date:  
NPI Reactivation Date:  
Gender:  Female
Authorized Official Name:
Authorized Official Telephone Number:
Provider Taxonomy Code 1: 208D00000X
Provider License Number 1: 15761
License Number State 1: PR
Primary Taxonomy Switch 1: Yes
 
   
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