Provider Demographics
NPI:1699668400
Name:MARINI MARTINEZ, FABIANA INES
Entity type:Individual
Prefix:
First Name:FABIANA
Middle Name:INES
Last Name:MARINI MARTINEZ
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2322 CALLE YAGUEZ
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-1837
Mailing Address - Country:US
Mailing Address - Phone:904-730-1195
Mailing Address - Fax:
Practice Address - Street 1:2322 CALLE YAGUEZ
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-1837
Practice Address - Country:US
Practice Address - Phone:904-730-1195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program