| Spine Clinic Physician Of Puerto Rico | |
|
Centro Internacional De Mercadeo, Torre 1, 100 Carr. 165 Suite 606, Guaynabo, PR 00968-8048 | |
| (939) 225-7972 | |
| (939) 225-7974 |
| Full Name | Spine Clinic Physician Of Puerto Rico |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | Centro Internacional De Mercadeo, Torre 1, Guaynabo, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063260040 | NPI | - | NPPES |
| 1528705472 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Alberto Josue Martinez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528705472 PECOS PAC ID: 0244761120 Enrollment ID: I20241002002740 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Clinic Physician Of Puerto Rico Centro Internacional De Mercadeo, Torre 1, 100 Carr. 165 Suite 606, Guaynabo, PR 00968-8048 Ph: (939) 225-7972 | Spine Clinic Physician Of Puerto Rico Centro Internacional De Mercadeo, Torre 1, 100 Carr. 165 Suite 606, Guaynabo, PR 00968-8048 Ph: (939) 225-7972 |
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