Organization
VIDA INTEGRAL CENTRO QUIROPRACTICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON V MIRANDA COLON D.C. (PRESIDENT/TREASURER)
(787) 210-9705
Entity
Organization
Contact information
Practice address
252 CALLE SAN JOSE, STE 2A, SAN JUAN, PR 00901
(787) 721-8432
Mailing address
PO BOX 11655, SAN JUAN, PR 00922
(787) 210-9705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
06/10/2020
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