Provider Demographics
NPI:1790577294
Name:NAZARIO MARTINEZ, RAUL ALEJANDRO
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:ALEJANDRO
Last Name:NAZARIO MARTINEZ
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 URB CAGUAS REAL
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9051
Mailing Address - Country:US
Mailing Address - Phone:787-354-7307
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 172, URB. TURABO GARDENS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-3038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program