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Organization

QUIROPRACTICA DEL ENCANTO, CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWIN JAVIER VELEZ-CORREA DC (DOCTOR)
(789) 500-3000
Entity
Organization

Contact information

Practice address
1751 AVE PAZ GRANELA, URB SANTIAGO IGLESIAS, SAN JUAN, PR 00921-3630
(787) 200-9144
(789) 200-9108
Mailing address
1751 AVE PAZ GRANELA, URB SANTIAGO IGLESIAS, SAN JUAN, PR 00921-3630
(787) 200-9144
(789) 200-9108

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
507
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037606900
PR
Enumeration date
10/18/2012
Last updated
02/11/2022
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