Individual provider Active NPI

Carmen Hadassah Martinez Castro, D.C.

  • Chiropractor
  • Dorado, PR
National Provider Identifier
1821469636
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000621 Issued in PR
Practice address
503 Calle Extension S
Dorado, PR 00646-5016
Phone
(787) 796-2900
NPI assigned
Oct 20, 2015
Reactivated
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 0621 PR
Chiropractor 111N00000X 000621 PR Primary

Addresses

Primary practice location

503 Calle Extension S
Dorado, PR 00646-5016

Mailing address

1602 Calle Sol Golden Hills
Dorado, PR 00646
Phone (939) 439-8982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000621PRMDChiropractor
0621PRMDNutrition Chiropractor
621PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1821469636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 CALLE SOL GOLDEN HILLS",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "939-439-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CALLE EXTENSION S",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465016",
            "telephone_number": "787-796-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CASTRO",
        "first_name": "CARMEN",
        "middle_name": "HADASSAH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "deactivation_date": "2020-02-25",
        "reactivation_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "PR",
            "license": "0621",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "000621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.