Provider Demographics
NPI:1902845167
Name:MARTINEZ ORTIZ, MARIA M (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:M
Last Name:MARTINEZ ORTIZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A6 URB VILLA VERDE
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-4118
Mailing Address - Country:US
Mailing Address - Phone:787-991-0934
Mailing Address - Fax:
Practice Address - Street 1:URB VILLA VERDE A-6
Practice Address - Street 2:CARRETERA 722
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-4118
Practice Address - Country:US
Practice Address - Phone:787-991-0934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13128207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR37515700Medicaid