Healthcare Provider Details

I. General information

NPI: 1528705472
Provider Name (Legal Business Name): ALBERTO JOSUE MARTINEZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALBERTO JOSUE MARTINEZ DC

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 CALLE SGTO I MALARET JUARBE
UTUADO PR
00641-3028
US

IV. Provider business mailing address

418 CALLE SGTO I MALARET JUARBE
UTUADO PR
00641-3028
US

V. Phone/Fax

Practice location:
  • Phone: 813-834-1688
  • Fax:
Mailing address:
  • Phone: 813-834-1688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number13815
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number978
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: