Provider Demographics
NPI:1497564116
Name:MARTINEZ CARRASQUILLO, ADRIANA ISABEL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:ISABEL
Last Name:MARTINEZ CARRASQUILLO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1785 CALLE J FERRER Y FERRER APT 903
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4199
Mailing Address - Country:US
Mailing Address - Phone:939-639-0245
Mailing Address - Fax:
Practice Address - Street 1:K172 CALLE GUATEMALA
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-2836
Practice Address - Country:US
Practice Address - Phone:939-715-1105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4669225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist