Organization
VIA QUIROPRACTICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE ANAIS LOPEZ CRESPO DC (OWNER)
(939) 247-3968
Entity
Organization
Contact information
Practice address
GALERIA PASEOS 100 GRAND PASEO BOULEVARD LOCAL #105A, SAN JUAN, PR 00926
(939) 247-3968
Mailing address
155 AVE ARTERIAL HOSTOS APT 229, SAN JUAN, PR 00918-2992
(939) 247-3968
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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