Provider Demographics
NPI:1871150045
Name:MORELL CASTRO, MARTA LYMAR (MD)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:LYMAR
Last Name:MORELL CASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 PASEO LA CATALANA
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2314
Mailing Address - Country:US
Mailing Address - Phone:787-848-1727
Mailing Address - Fax:
Practice Address - Street 1:4025 PASEO LA CATALANA
Practice Address - Street 2:
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2314
Practice Address - Country:US
Practice Address - Phone:787-848-1727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2024-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022481207R00000X, 390200000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine