Organization
QUIROPRACTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS EDGARDO VALENTIN D.C. (QUIROPRACTOR)
(787) 424-8541
Entity
Organization
Contact information
Practice address
1194 CALLE NICOLAS AGUAYO, SAN JUAN, PR 00924
(939) 337-0239
Mailing address
B10 CALLE MAGNOLIA, URB EL DORADO, GUAYAMA, PR 00784
(787) 864-3718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00547
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00547
—
PR
Enumeration date
12/19/2016
Last updated
12/19/2016
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