Provider Demographics
NPI:1063137065
Name:MARTINEZ RAMOS, NELSON (DC)
Entity type:Individual
Prefix:DR
First Name:NELSON
Middle Name:
Last Name:MARTINEZ RAMOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 DIXON BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-6887
Mailing Address - Country:US
Mailing Address - Phone:321-252-8965
Mailing Address - Fax:
Practice Address - Street 1:817 DIXON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-6887
Practice Address - Country:US
Practice Address - Phone:321-252-8965
Practice Address - Fax:321-252-8976
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor