# KSMLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235929183
- **Authorized official:** KENNETH LOUIS DE JESUS TORRES DC (CLINIC DIRECTOR)
- **Authorized official phone:** (787) 450-9601

## Contact information

- **Practice address:** CENTRO NOVIOS PLAZA, AVE. HOSTOS SUITE 204, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 450-9601
- **Mailing address:** PO BOX 140182, ARECIBO, PR 00614-0182
- **Mailing address phone:** (787) 450-9601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | Yes |
| 111NR0400X | Rehabilitation Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2025
- **Last updated:** 05/12/2025