Provider Demographics
NPI:1497295158
Name:ARACHE MARTINEZ, MICHELLE ALEXANDRA (LMT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ALEXANDRA
Last Name:ARACHE MARTINEZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 73 BOX 5049
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-9140
Mailing Address - Country:US
Mailing Address - Phone:787-948-1896
Mailing Address - Fax:
Practice Address - Street 1:HC 73 BOX 5049
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-9140
Practice Address - Country:US
Practice Address - Phone:787-948-1896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000811225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist