Individual
DR. CHARLES E WILLIAMS - ASENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1488 CALLE MARGINAL FAGOT, AVE. BOULEVARD MIGUEL POU, PONCE, PR 00716
(787) 448-7123
Mailing address
2061 CALLEYAGRUMO, LOS CAOBOS, PONCE, PR 00716
(787) 848-5599
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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