Provider Demographics
NPI:1528705472
Name:MARTINEZ, ALBERTO JOSUE (DC)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:JOSUE
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ALBERTO
Other - Middle Name:JOSUE
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:CENTRO INTERNACIONAL DE MERCADEO, TORRE 1,
Mailing Address - Street 2:100 CARR.165 SUITE 606
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-4110
Mailing Address - Country:US
Mailing Address - Phone:813-834-1688
Mailing Address - Fax:
Practice Address - Street 1:CENTRO INTERNACIONAL DE MERCADEO, TORRE 1,
Practice Address - Street 2:100 CARR.165 SUITE 606
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-8048
Practice Address - Country:US
Practice Address - Phone:813-834-1688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR978111N00000X
FL13815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor