Basic Information
Provider Information
NPI: 1932503141
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA MARTINEZ
FirstName: ADRIANA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: B-24 CALLE 3
Address2: URB VILLAS DE SAN FRANCISCO
City: SAN JUAN
State: PR
PostalCode: 00927
CountryCode: US
TelephoneNumber: 7875674228
FaxNumber:  
Practice Location
Address1: 1451 AVE ASHFORD
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009071511
CountryCode: US
TelephoneNumber: 7877212160
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/17/2014
LastUpdateDate: 05/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X141857FLN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X22018PRY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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