Provider Demographics
NPI:1851112395
Name:MELENDEZ MARTINEZ, KAREN (DC,MBA)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:MELENDEZ MARTINEZ
Suffix:
Gender:F
Credentials:DC,MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. EL ROSARIO II S41-CALLE E
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-325-0565
Mailing Address - Fax:
Practice Address - Street 1:272 CALLE MARGINAL STE 2
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2433
Practice Address - Country:US
Practice Address - Phone:787-544-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty