ELSA R. MARTINEZ SERRANO
NPI: 1780749762
· HATILLO, PR 00669
· Pharmacy
· NPI assigned 12/27/2006
$596.80
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINEZ, ELSA (OWNER) |
| NPI Enumeration Date | 12/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34 |
$242.45 |
| 2019 |
38 |
$354.35 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
36 |
32 |
$596.80 |
| G0008 |
Administration of influenza virus vaccine |
36 |
32 |
$0.00 |