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Organization
ED SPINE CLINIC LLC
Active
Organization
ED SPINE CLINIC LLC
Active
Other names
ED Spine Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERBETT SALVA DIAZ DC (PRESIDENT)
(787) 517-4828
Entity
Organization
Contact information
Practice address
120 CALLE BELT, AGUADILLA, PR 00603-1106
(787) 517-4828
Mailing address
139 CALLE R, AGUADILLA, PR 00603-1409
(787) 517-4828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
08/16/2021
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