Provider Demographics
NPI:1215961388
Name:MARTINEZ LORENZO INTERNAL MEDICINE SERVICES PSC
Entity type:Organization
Organization Name:MARTINEZ LORENZO INTERNAL MEDICINE SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELFREN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-732-0303
Mailing Address - Street 1:PO BOX 9419
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-9419
Mailing Address - Country:US
Mailing Address - Phone:787-732-0303
Mailing Address - Fax:787-732-0303
Practice Address - Street 1:CALLE MUNOZ RIVERA #94
Practice Address - Street 2:
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703
Practice Address - Country:US
Practice Address - Phone:787-732-0303
Practice Address - Fax:787-732-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0029209Medicare ID - Type UnspecifiedMEDICARE
PRE42522Medicare UPIN