ETTSON MARTINEZ (NPI# 1831611458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831611458 |
| Entity Type | Individual |
| Full Name | ETTSON MARTINEZ |
| Credential | MD |
| Practice Address |
Hc 02 Box 12286 San German PR 00683 |
| Mailing Address |
Hc 2 Box 12286 San German PR 00683-9576 |
| Practice Telephone | 7875384945 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 19727 | PR | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 19727 | PR | Student, Health Care |
| Street Address |
HC 02 BOX 12286 |
| City | SAN GERMAN |
| State | PR |
| Zip Code | 00683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029286 | Paula M Rivera Millan | General Practice | Urb. Mansiones Calle 4 E 4, San German, PR 00683 | 2020-10-01 |
| 1164031993 | Yaralyz Serrano Ayala | Social Worker | Carr 361 Km 6.9, San German, PR 00683 | 2020-07-28 |
| 1528676830 | Solimar Acevedo Soto | Internal Medicine | Hospital De La Concepcion Carr #2 Km 173.4, San German, PR 00683 | 2020-07-22 |
| 1922624758 | Victor Adriel Otero | General Practice | Carr. #2 Km 173.4, Bo. Cain Bajo, San German, PR 00683 | 2020-06-17 |
| 1669092508 | Tu Optica Dr. Reinaldo Manolo Vazquez | Eyewear Supplier (Equipment, not the service) | Ave. Universidad Interamericana 183 Centro Comercial, Local 106, Sangerman, PR 00683 | 2020-04-21 |
| 1801429642 | Hospital De La Concepcion Inc | Skilled Nursing Facility | Road #2 Km. 173.4, Bo Cain Alto, San German, PR 00683 | 2020-02-20 |
| 1275171449 | Andrea Marie Pagan | Nurse Anesthetist, Certified Registered | #8 Calle Luz Celenia Tirado, San German, PR 00683 | 2019-12-18 |
| 1093358723 | Julio Cesar Campis Candelario | General Practice | Las Quintas Calle Noruega B7, San German, PR 00683 | 2019-10-25 |
| 1295385508 | Vacunas Del Sur Incorporado | Clinic/Center | Ave Universidad Interamericana 187 Suite 109, San German, PR 00683 | 2019-09-18 |
| 1124678057 | Light Up Chiropractic Clinic | Chiropractor | Bo. Minillas Carretera Pr-102 Km 38.1, Local 2, San German, PR 00683 | 2019-09-12 |
| Find all providers in zip 00683 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700275 | Adriana Cristina Ramirez Roggio | Student in an Organized Health Care Education/Training Program | 64 Calle Dr Santiago Veve, San German, PR 00683-4115 | 2019-09-24 |
| 1134778947 | Jan Luis Ramirez Mercado | Student in an Organized Health Care Education/Training Program | Urb. Santa Marta Calle B-i-13, San German, PR 00683 | 2019-09-05 |
| 1184272874 | Caleb S Pacheco | Student in an Organized Health Care Education/Training Program | Carr #2 Km 173, San German, PR 00683 | 2019-08-27 |
| 1780242990 | Noelia Flores De Jesus | Student in an Organized Health Care Education/Training Program | Pr2 Km 174.3 Calle Luna 41, Bo Cain Alto Hospital La Concepcion, San German, PR 00683 | 2019-06-03 |
| 1093292195 | Fausto Carlos Hernan Lugo Morales | Student in an Organized Health Care Education/Training Program | Carr 2 Km 173.4 Bo Cain Alto, San German, PR 00683 | 2018-07-23 |
| 1104373950 | Jose Santos Hernandez | Student in an Organized Health Care Education/Training Program | Carr 330 Km 5.2 Rosario, San German, PR 00681-0292 | 2016-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477371 | Alberth Matos Rodriguez | Student in an Organized Health Care Education/Training Program | 2232 Cond Vista Real II, Caguas, PR 00727-7853 | 2020-11-08 |
| 1902407877 | Daniela Isabel Ortega | Student in an Organized Health Care Education/Training Program | 422 Via Escorial, Guaynabo, PR 00969-5348 | 2020-11-05 |
| 1629679287 | Yamil Torres Rivera | Student in an Organized Health Care Education/Training Program | 706 Calle Turabo, Mayaguez, PR 00680-5184 | 2020-11-02 |
| 1588264980 | David Edgardo Sanchez-real | Student in an Organized Health Care Education/Training Program | Urb Villa Blanca Cll Jade, Caguas, PR 00725 | 2020-10-27 |
| 1912506452 | Paula Suarez | Student in an Organized Health Care Education/Training Program | Expreso Luis A Ferre, Caguas, PR 00727 | 2020-10-24 |
| 1518565134 | Paola B Fernandez Molinary | Student in an Organized Health Care Education/Training Program | Alborada, El Condominio, 1225, Apartment 2232, Bayamon, PR 00959 | 2020-10-15 |
| 1881291540 | Valeria Lozada Miranda | Student in an Organized Health Care Education/Training Program | Hospital Universitario Centro Medico, San Juan, PR 00921 | 2020-10-06 |
| 1588271142 | Luis Guillermo Sanchez Rodriguez | Student in an Organized Health Care Education/Training Program | Paseo Palma Real 45 Calle Gorrion, Juncos, PR 00777-3121 | 2020-09-28 |
| 1629685565 | Marlene Bridgette Rodriguez | Student in an Organized Health Care Education/Training Program | 200 Carr 842 Apt 31, San Juan, PR 00926-9664 | 2020-09-24 |
| 1467068296 | Alexandra Maria Rincones | Student in an Organized Health Care Education/Training Program | L9 Calle 5 Bonneville Terrace, Caguas, PR 00725 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | SAN GERMAN |
| Zip Code | 00683 |
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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.