Healthcare Provider Details

I. General information

NPI: 1063340552
Provider Name (Legal Business Name): AXEL ZAEL RIVERA MARTINEZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 CALLE TANAMA
HATILLO PR
00659-2470
US

IV. Provider business mailing address

382 CALLE TANAMA
HATILLO PR
00659-2470
US

V. Phone/Fax

Practice location:
  • Phone: 787-544-5100
  • Fax:
Mailing address:
  • Phone: 787-544-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1161
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: