Organization
ED SPINE CLINIC LLC
Active
Other names
ED Spine Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERBETT SALVA DIAZ DC (PRESIDENT)
(787) 517-4828
Entity
Organization
Contact information
Practice address
120 CALLE BELT, AGUADILLA, PR 00603-1106
(787) 517-4828
Mailing address
139 CALLE R, AGUADILLA, PR 00603-1409
(787) 517-4828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
08/16/2021
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