Provider Demographics
NPI:1588633309
Name:MARTINEZ, VERUSHKA (DC)
Entity Type:Individual
Prefix:DR
First Name:VERUSHKA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
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:PMB 235, 35 JUAN BORBON
Mailing Address - Street 2:#67
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5375
Mailing Address - Country:US
Mailing Address - Phone:787-744-3348
Mailing Address - Fax:787-746-6380
Practice Address - Street 1:CONDADO MODERNO
Practice Address - Street 2:CALLE 8 B-40
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-3348
Practice Address - Fax:787-746-6380
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor