Organization
KSMLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LOUIS DE JESUS TORRES DC (CLINIC DIRECTOR)
(787) 450-9601
Entity
Organization
Contact information
Practice address
CENTRO NOVIOS PLAZA, AVE. HOSTOS SUITE 204, MAYAGUEZ, PR 00680
(787) 450-9601
Mailing address
PO BOX 140182, ARECIBO, PR 00614-0182
(787) 450-9601
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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