Active NPI
Itza Marlin Martinez Ruiz, DC
- Chiropractor
- Hatillo, PR
National Provider Identifier
1689328890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 828
- Practice address
- Bo Buena Vista Carr 130 KM 7.8
Hatillo, PR 00659 - Phone
- (787) 356-7116
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 828 | PR | Primary |
Addresses
Primary practice location
Bo Buena Vista Carr 130 KM 7.8
Hatillo, PR 00659
Mailing address
P.O.Box 69001 PMB 128
Hatillo, PR 00659-0001
Phone (787) 356-7116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 828 | PR | MD | Optician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Hatillo, PR
- NPI 1881329829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689328890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 69001 PMB 128",
"city": "HATILLO",
"state": "PR",
"postal_code": "006590001",
"telephone_number": "787-356-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO BUENA VISTA CARR 130 KM 7.8",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-356-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ RUIZ",
"first_name": "ITZA",
"middle_name": "MARLIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2023-03-07",
"certification_date": "2022-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.