Provider Demographics
NPI:1437625134
Name:MARTINEZMORALES, ENOC (MD DABFM)
Entity type:Individual
Prefix:
First Name:ENOC
Middle Name:
Last Name:MARTINEZMORALES
Suffix:
Gender:M
Credentials:MD DABFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOSPITAL BELLA VISTA, CERRO LAS MESAS, PR-349 KM. 2.7
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-8321
Mailing Address - Country:US
Mailing Address - Phone:787-834-6000
Mailing Address - Fax:
Practice Address - Street 1:CERRO LAS MESAS, PR-349 KM. 2.7
Practice Address - Street 2:HOSPITAL BELLA VISTA
Practice Address - City:MAYAGUEZ
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00680
Practice Address - Country:UM
Practice Address - Phone:787-834-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-19
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24483207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine