DR. ELISEO MARTINEZ - GONZALEZ (NPI# 1477732931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477732931 |
Entity Type | Individual |
Full Name | DR. ELISEO MARTINEZ - GONZALEZ |
Credential | M.D |
Practice Address |
10 Calle Candina Apt 7-a San Juan PR 00907-1404 |
Mailing Address |
Po Box 366008 San Juan PR 00936-6008 |
Practice Telephone | 7877220386 |
Mailing Telephone | 7877220386 |
Enumeration Date | 2007-10-31 |
Last Update Date | 2007-10-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
593 | PR | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | TRIPLE-S PROVIDER ID | 40572 | 01 |
Street Address |
10 CALLE CANDINA APT 7-A |
City | SAN JUAN |
State | PR |
Zip Code | 00907-1404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194338574 | Pop Health, LLC | Chiropractor | Cond Casa Del Valle, Comercial B, 1450 Ave Ashford, San Juan, PR 00907 | 2020-08-26 |
1760091086 | Patrick Anthony Maher | Student in an Organized Health Care Education/Training Program | 1451 Ave Dr. Ashford, San Juan, PR 00907 | 2020-07-23 |
1922621283 | Mariana Silva | Clinic/Center | 29 Washigton St Ofice 409, Ashford Medical Center, San Juan, PR 00907 | 2020-05-21 |
1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
1376182519 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Vig Tower, Piso 1, 1225 Ave Ponce De Leon, San Juan, PR 00907 | 2020-01-06 |
1154979235 | Teresa Pilar Del Rio | Student in an Organized Health Care Education/Training Program | Calle Villamil 303, Apt 1506, San Juan, PR 00907 | 2019-08-31 |
1457906208 | Jose A Pineiro Salgado | Audiologist | San Juan Health Center Bldg, 150 Ave De Diego, San Juan, PR 00907 | 2019-08-08 |
1649825456 | Melba I Rivera | Social Worker | Hospital De Psiquiatria Estatal Dr Ramon Fernandez Mari, Calle Maga Bo Monacillos, San Juan, PR 00907 | 2019-08-08 |
1346894060 | Hazel Faunde | Social Worker | 605 Calle Condado, Edif San Alberto Suite 611, Santurce, PR 00907 | 2019-07-31 |
1134789407 | Alexandra Medina Calderon | Social Worker | Edificio Plaza Del Condado, 62-64 Calle Condado, Condado, PR 00907 | 2019-06-18 |
Find all providers in zip 00907 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083249122 | Micol Hernandez Rivera LLC | Dentist | 1959 Calle Loiza Ste 301, San Juan, PR 00911-1873 | 2020-03-09 |
1063925758 | Ashford Periodontics and Implants Psc | Dentist | 29 Calle Washington Ste 709, San Juan, PR 00907-1503 | 2017-11-16 |
1538411285 | Centro De Periodoncia E Implantologia Pavia | Dentist | 1449 Calle Americo Salas Ste 202, 1449 Americo Salas, San Juan, PR 00909-2101 | 2012-10-04 |
1477605970 | Jose Javier Tolosa | Dentist | 9410 Los Romero Ave. Suite 207, San Juan, PR 00926 | 2007-01-17 |
1316096134 | Jose O Colon-deglans | Dentist | 576 Calle Cesar Gonzalez Ste 308, San Juan, PR 00918-3757 | 2007-01-10 |
1043392053 | Marcos F. Vecchini | Dentist | 525 Ave F D Roosevelt, Suite 615 La Torre De Plaza, San Juan, PR 00918-8001 | 2006-10-19 |
1992892244 | Jose Gilberto Gonzalez-gonzalez | Dentist | Summit Building Box 12 1738 Amarillo Street, 207-a, San Juan, PR 00926 | 2006-10-06 |
1154412567 | Jeanne Michelle Badillo | Dentist | 1738 Calle Amarillo, Suite 207a, San Juan, PR 00926-3072 | 2006-09-28 |
1184734683 | Jose Antonio Suris | Dentist | 400 Roosevelt Ave, Suite 502, San Juan, PR 00918 | 2006-08-30 |
1063491694 | Magali Muniz-mariani | Dentist | A3 Calle Lodi, Urb. Luarca, San Juan, PR 00924-3804 | 2006-01-12 |
Find all providers in SAN JUAN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.