Provider Demographics
NPI:1063517563
Name:BRITO HERNANDEZ, MARTA
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:BRITO HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 CALLE MONTREAL
Mailing Address - Street 2:OLIMPIC VILLE
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9696
Mailing Address - Country:US
Mailing Address - Phone:787-644-5074
Mailing Address - Fax:787-258-3212
Practice Address - Street 1:CALLE DE LA CRUZ 10 Y 12
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745-9998
Practice Address - Country:US
Practice Address - Phone:939-390-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1141225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1141OtherRPT LICENSE