Provider Demographics
NPI:1316106461
Name:BLANCO MARTINEZ, ARLEEN CRISTINA (DC)
Entity type:Individual
Prefix:DR
First Name:ARLEEN CRISTINA
Middle Name:
Last Name:BLANCO MARTINEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:BLANCO MARTINEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:510 JUAN J. JIMENEZ
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00918
Mailing Address - Country:UM
Mailing Address - Phone:787-200-5942
Mailing Address - Fax:787-200-5943
Practice Address - Street 1:510 JUAN J. JIMENEZ
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00918
Practice Address - Country:UM
Practice Address - Phone:787-200-5942
Practice Address - Fax:787-200-5943
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011626111NI0013X
PR455111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner