Provider Demographics
NPI:1467266155
Name:DEL ROSARIO MARTINEZ, FELIPE MIGUEL (BS DC)
Entity type:Individual
Prefix:
First Name:FELIPE
Middle Name:MIGUEL
Last Name:DEL ROSARIO MARTINEZ
Suffix:
Gender:M
Credentials:BS DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 DELK RD SE APT 50C
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5395
Mailing Address - Country:US
Mailing Address - Phone:787-639-6429
Mailing Address - Fax:
Practice Address - Street 1:1500 BROWNS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-4738
Practice Address - Country:US
Practice Address - Phone:404-800-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011335111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor