Provider Demographics
NPI:1114024551
Name:DAVIS, SAALLAHEM RA (DC)
Entity Type:Individual
Prefix:DR
First Name:SAALLAHEM
Middle Name:RA
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 CALLE PUERTO
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-5615
Mailing Address - Country:US
Mailing Address - Phone:787-431-2566
Mailing Address - Fax:
Practice Address - Street 1:95 CALLE PUERTO
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-5615
Practice Address - Country:US
Practice Address - Phone:787-431-2566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR005-7533Medicare ID - Type UnspecifiedCHIROPRACTIC