Individual provider · Type 1 NPI

Amanda Martinez Detres, MD

Student in an Organized Health Care Education/Training Program · Bayamon, PR

NPI number 1033065453 Active

Practice location

70 Calle Santa Cruz
Bayamon, PR 00961-7052

Call (787) 620-4747 Map

Mailing address

1299 Calle W Bosch Apt 210
San Juan, PR 00924-4665

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033065453

Amanda Martinez Detres, MD's National Provider Identifier is 1033065453, issued on Mar 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bayamon, PR. The record was last updated on Mar 9, 2026.