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Organization
REVIVE QUIROPRACTICA, LLC
Active
Organization
REVIVE QUIROPRACTICA, LLC
Active
Parent organization
PAULINA BARQUERO SOTOMAYOR
Other names
REVIVE QUIROPRACTICA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAULINA BARQUERO SOTOMAYOR
Authorized official
PAULINA BARQUERO SOTOMAYOR D.C. (CHIROPRACTOR/OWNER)
(787) 751-1121
Entity
Organization
Contact information
Practice address
11 CALLE CARAZO, GUAYNABO, PR 00969-5636
(787) 430-5357
Mailing address
902 AVE PONCE DE LEON APT 205, SAN JUAN, PR 00907-3348
(787) 430-5357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
632
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
632
—
PR
Enumeration date
07/01/2018
Last updated
07/01/2018
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