1063474872 NPI number — DR. JAIME MARTINEZ-SOUSS M.D.

Table of content: DR. JAIME MARTINEZ-SOUSS M.D. (NPI 1063474872)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063474872 NPI number — DR. JAIME MARTINEZ-SOUSS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARTINEZ-SOUSS
Provider First Name:
JAIME
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063474872
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 363532
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00936-3532
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-723-9025
Provider Business Mailing Address Fax Number:
787-722-1987

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
328 DE DIEGO AVE
Provider Second Line Business Practice Location Address:
SUITE 202 PONCE DE LEON AVE.
Provider Business Practice Location Address City Name:
SANTURCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00909-1706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-723-9025
Provider Business Practice Location Address Fax Number:
787-722-1987
Provider Enumeration Date:
04/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  8869 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)