Spine Clinic Physician of Puerto Rico

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE CLINIC PHYSICIAN OF PUERTO RICO

Practice address

Centro Internacional de Mercadeo, Torre 1
100 Carr. 165 Suite 606
Guaynabo, PR 00968-8048

Phone

(939) 225-7972

Fax

(939) 225-7974

NPI assigned

May 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alberto Josue Martinez, DCNPI 1528705472

Title

Chiropractic Physician

Phone

(939) 225-7972

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alberto Josue Martinez, DC

  • Chiropractor
  • Utuado, PR
  • NPI 1528705472
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1063260040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRO INTERNACIONAL DE MERCADEO, TORRE 1",
            "address_2": "100 CARR. 165 SUITE 606",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688048",
            "telephone_number": "939-225-7972",
            "fax_number": "939-225-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO INTERNACIONAL DE MERCADEO, TORRE 1",
            "address_2": "100 CARR. 165 SUITE 606",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688048",
            "telephone_number": "939-225-7972",
            "fax_number": "939-225-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CLINIC PHYSICIAN OF PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "JOSUE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "939-225-7972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528705472",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neftali Soto Vizcaya, 0502B
• Angel Luis Soto, MD, MPH
• Carla Suzette Soto, PSY.D.
• Luis M Soto, PHARMACIST
• Special Care Infusion Center, Inc
• Spine Health LLC
• Spine Recovery Institute
• Spine Sports and Manual Medicine Clinic PSC
• Star Kids Club-CBS Prediatric
• Stat-Genetik, Inc

• Chiropractor in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.