Most Relevant Information
Provider Data
| NPI Number: | 1003196288 |
| Provider Name: | MICHELLE MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: | 1518 |
Most Important Dates
| Enumeration Date: | 08/19/2011 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
HOSPITAL AUXILIO MUTUO
HATO REY
PR
00918
Practice Location Phone/Fax
| Phone: | 7877582000 |
| Fax: |
Provider Mailing Location
A-17 CALLE 4
URB. PARQUE DE TORRIMAR
BAYAMON
PR
009590000
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |