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Organization
MODERN SPINE CHIROPRACTIC LLC
Active
Organization
MODERN SPINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL M MIRANDA DC (PRESIDENT)
(787) 486-7919
Entity
Organization
Contact information
Practice address
1228 AVE MUNOZ RIVERA STE 1, PONCE, PR 00717-0639
(939) 500-0649
Mailing address
URB LAS ALONDRAS A10 CALLE 1, VILLALBA, PR 00766-2301
(787) 486-7919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
NULL
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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