MEDICARE: DR. JULIE SUZETTE MARTINEZ D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	416	PR

General Provider Information

NPI Number	:	1154466738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE SUZETTE MARTINEZ D.C.

Provider Business Mailing Address
First Line	:	COND. PINE GROVE
Second Line	:	APT 15A
City	:	CAROLINA
State	:	PR
Zip	:	00979
Country	:	US
Telephone Number	:	787-223-9160
Fax Number	:	787-993-4529

Provider Business Practice Location Address
First Line	:	1665 AVE VICTOR LABIOSA
Second Line	:	SUITE 106
City	:	SAN JUAN
State	:	PR
Zip	:	00926-0001
Country	:	US
Telephone Number	:	787-223-9160
Fax Number	:	787-993-4529

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	09/18/2025

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