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Individual

DR. IVAN RODRIGUEZ-VEGA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
AVENIDA ALBOLOTE, LOCAL #5 PLAZA CHALET, GUAYNABO, PR 00969
(787) 639-4226
Mailing address
3451 CALLE ATLANTICO, VEGA BAJA, PR 00693-6109
(939) 280-4979

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
990
PR
111N00000X
Chiropractor
CHIR010832
GA

Other

Enumeration date
11/23/2022
Last updated
09/27/2024
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