Martinez - Gonzalez, Eliseo
Martinez - Gonzalez, Eliseo is an sole proprietor health care provider with primary practice located at 10 Calle Candina Apt 7-A, San Juan PR 00907-1404. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Martinez - Gonzalez, Eliseo can be contacted via phone (787) 722-0386.Contact Information
Primary practice address
10 Calle Candina Apt 7-A
San Juan PR 00907-1404
Phone: (787) 722-0386
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 593 | Puerto Rico |
Profile Details
| NPI number | 1477732931 |
|---|---|
| LBN Legal business name | Martinez - Gonzalez, Eliseo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2007 |
| Last updated | Oct 31st, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477732931 | NPPES |
| Puerto Rico | Other | 40572 | TRIPLE-S PROVIDER ID |
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