Individual
TYLER WADE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1600 AVE PONCE DE LEON, SANTURCE, PR 00909-1844
(787) 724-9797
(787) 724-9700
Mailing address
1600 PONCE DE LEON, SANTURCE, PR 00909
(787) 724-9797
(787) 724-9700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
444
PR
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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