Provider Demographics
NPI:1528870144
Name:MARTINEZ, REINJEL JERISEAY ABUBO (RN)
Entity type:Individual
Prefix:MS
First Name:REINJEL JERISEAY
Middle Name:ABUBO
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 CONNECTICUT AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-1743
Mailing Address - Country:US
Mailing Address - Phone:203-482-4074
Mailing Address - Fax:
Practice Address - Street 1:550 CONNECTICUT AVE APT 1
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-1743
Practice Address - Country:US
Practice Address - Phone:203-482-4074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT162663163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse