Organization
CENTRO QUIROPRACTICO DE VEGA ALTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE CARLOS MAYSONET ACEVEDO DC (OWNER)
(787) 994-9330
Entity
Organization
Contact information
Practice address
2 CALLE 1, VEGA ALTA, PR 00692-7113
(787) 245-4936
Mailing address
N11 CALLE 9, VEGA ALTA, PR 00692-6010
(787) 994-9330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039624600
—
PR
Enumeration date
10/20/2023
Last updated
05/31/2024
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