Organization
SPINE PUERTO RICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS EUGENIO RIVERA IZQUIERDO DC (PRESIDENT)
(787) 690-5972
Entity
Organization
Contact information
Practice address
EXT. JACAGUAX 9 CALLE 1, JUANA DIAZ, PR 00795
(787) 690-5972
Mailing address
EXT. JACAGUAX 9 CALLE 1, JUANA DIAZ, PR 00795
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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