Organization
NCR CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE M CARRASQUILLO RIVERA DC (PRESIDENT)
(787) 678-7423
Entity
Organization
Contact information
Practice address
CARR 172 BO CANABONCITO, KM 6.0, CAGUAS, PR 00727
(787) 945-9387
Mailing address
PO BOX 1600, CIDRA, PR 00739-1600
(787) 945-9387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
02/05/2020
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