Provider Demographics
NPI:1306966544
Name:MARTES, ZAIDA IVETTE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:ZAIDA
Middle Name:IVETTE
Last Name:MARTES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 CALLE HIGUEY
Mailing Address - Street 2:COLINAS DE BAYOAN
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-3775
Mailing Address - Country:US
Mailing Address - Phone:787-797-2033
Mailing Address - Fax:
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7682
Practice Address - Fax:787-641-2973
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20529367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered