Organization
SOUTHERN CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO MAIZ-DEDOS DC (PRESIDENT/DIRECTOR)
(787) 973-5151
Entity
Organization
Contact information
Practice address
TORRE MEDICA SAN CRISTOBAL, OFICINA 407C, COTO LAUREL, PR 00780
(787) 973-5151
Mailing address
PO BOX 560207, GUAYANILLA, PR 00656-0207
(787) 973-5151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
12/16/2023
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