Provider Demographics
NPI:1447652672
Name:RODRIGUEZ MARTINO, ESTEBAN I (MD)
Entity type:Individual
Prefix:
First Name:ESTEBAN
Middle Name:I
Last Name:RODRIGUEZ MARTINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LAS AMERICAS PROFESSIONAL CENTER, OFFICE 307
Mailing Address - Street 2:400 AVE. DOMENECH
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-520-9982
Mailing Address - Fax:
Practice Address - Street 1:LAS AMERICAS PROFESSIONAL CENTER, OFFICE 307
Practice Address - Street 2:400 AVE. DOMENECH
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3703
Practice Address - Country:US
Practice Address - Phone:787-520-9982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21511207R00000X
PR021511207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine