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Ricardo Luis Martinez Rodriguez

Student in an Organized Health Care Education/Training Program

Student, Health Care

Centro Medico San Juan Puerto Rico, Barrio Monacillos, San Juan, PR 00935

PECOS Enrollment

This provider is enrolled in PECOS as RICARDO MARTINEZ RODRIGUES.

Based on the most recent information from CMS, provider Ricardo Luis Martinez Rodriguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1124612361
Provider Type
Individual
Full Name
Martinez Rodriguez, Ricardo Luis
Gender
Male

Sole Proprietor
Yes
Enumeration Date
3/1/2021
Last Updated
3/1/2021

Contact Information

Practice Location

Centro Medico San Juan Puerto Rico, Barrio Monacillos, San Juan, PR 00935

(787) 758-2525

Unlisted Fax

Mailing Location

PO Box 365067, San Juan, PR 00936-5067

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ricardo Luis Martinez Rodriguez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Oliveras Rivera, Kiomara

Perez, Luis Enrique

Lopez Hernandez, Cindy Marie

Sierra Gonzalez, Aslee

Martinez Rivera, Karolynn Michelle

Bermudez Lugo, Yulevymar

Duran Baez, Diego Jose

Lafontaine Alvarez, Jean Carlo

Carrillo Torres, Rafael Joaquin

Sanchez Montero, Heidi