Provider Demographics
NPI:1104890789
Name:TORRES-MARTINEZ, ARTEMIO (MD)
Entity type:Individual
Prefix:DR
First Name:ARTEMIO
Middle Name:
Last Name:TORRES-MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 CALLE 8
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1770
Mailing Address - Country:US
Mailing Address - Phone:787-642-6112
Mailing Address - Fax:787-722-5893
Practice Address - Street 1:49 STREET 8
Practice Address - Street 2:2A-5
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-642-6112
Practice Address - Fax:787-722-5893
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15874207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5254ZMedicare ID - Type Unspecified
FLI 36690Medicare UPIN