Provider Demographics
NPI:1225917479
Name:MARTINEZ VEGA, AMARILYS
Entity type:Individual
Prefix:
First Name:AMARILYS
Middle Name:
Last Name:MARTINEZ VEGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 17232
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-9039
Mailing Address - Country:US
Mailing Address - Phone:787-325-7918
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 17232
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-9039
Practice Address - Country:US
Practice Address - Phone:787-325-7918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9532306163W00000X
PR82352163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse