Organization · NPI-2
Advance Chiropractic, L.L.C.
Clinic/Center · Carolina, PR
NPI number1992954796
StatusActive
Last updated in NPPESSep 17, 2008
Details
- NPI
- 1992954796
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Chiropractic, L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 17, 2008
- Last updated
- Sep 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 433 | PR | Yes |
Practice location
Ave Fidalgo Diaz, Villa Fontana Bl-2Carolina, PR 00983
Phone 787-257-5200
Mailing address
Valle Arriba HeightBw-7, 113 St
Carolina, PR 00983-3326
Phone 787-344-6695
Authorized official
Victor Manuel Cruz
President
7873446695
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