Provider Demographics
NPI:1174026124
Name:MARTINEZ SALINAS, CHARLES (DC)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:MARTINEZ SALINAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EST DEL RIO 307 CALLE RIO COAYUCO
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-5814
Mailing Address - Country:US
Mailing Address - Phone:787-951-3893
Mailing Address - Fax:
Practice Address - Street 1:CALLE RAMON EMETERIO BETANCES #345
Practice Address - Street 2:SUITE 110
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-9999
Practice Address - Country:US
Practice Address - Phone:787-978-3893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor