Organization
VITALIDAD QUIROPRACTICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERNAN NICASIO LOPEZ DC (PRESIDENT)
(787) 671-7088
Entity
Organization
Contact information
Practice address
URB VILLA LISSETTE, B 3 CALLE MARGINAL, GUAYNABO, PR 00969
(787) 999-6570
(787) 999-4586
Mailing address
303 CALLE VILLAMIL, APT 1602, SAN JUAN, PR 00907
(787) 294-5543
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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