Organization
MODERN SPINE CHIROPRACTIC LLC
Active
Organization
MODERN SPINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL MANUEL MIRANDA DC (CLINIC DIRECTOR/OWNER)
(787) 486-7919
Entity
Organization
Contact information
Practice address
1228 AVE MUNOZ RIVERA, SUITE 1, PONCE, PR 00717
(787) 841-1271
(787) 842-7610
Mailing address
URB LAS ALONDRAS A10 CALLE 1, VILLALBA, PR 00766
(787) 841-1271
(787) 842-7610
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039518400
—
PR
Enumeration date
08/05/2026
Last updated
08/05/2026
Update your record
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