Provider Demographics
NPI:1528172152
Name:MARTINEZ OLIVERAS, FELIX D III (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:D
Last Name:MARTINEZ OLIVERAS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-0072
Mailing Address - Country:US
Mailing Address - Phone:787-447-7453
Mailing Address - Fax:787-898-8848
Practice Address - Street 1:CALLE 130 KM. 2.9
Practice Address - Street 2:BO CAPAEZ
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-8848
Practice Address - Fax:787-898-8848
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13938208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21022Medicaid
PRH67167Medicare UPIN