Individual
DR. CHARLES E WILLIAMS - ASENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
390
PR
111NR0400X
Rehabilitation Chiropractor
390
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100215
CRUZ AZUL
PR
01
—
233006
PREFERRED HEALTH
PR
01
—
3646
AMERICAN HEALTH
PR
01
—
50405
PMC
PR
01
—
601555
MMM
PR
01
—
68202 WI
TRIPLE SSS
PR
01
—
7660030
HUMANA
PR
01
—
P-625
FIRST MEDICAL
PR
Enumeration date
03/13/2008
Last updated
03/13/2008
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