Provider Demographics
NPI:1114230752
Name:ESTUDIOS QUIROPRACTICOS CPS
Entity Type:Organization
Organization Name:ESTUDIOS QUIROPRACTICOS CPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VASCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-583-7130
Mailing Address - Street 1:VILLAS DE PLAYA I
Mailing Address - Street 2:M 8
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0000
Mailing Address - Country:US
Mailing Address - Phone:407-583-7130
Mailing Address - Fax:787-761-0611
Practice Address - Street 1:384 AVE DOMENECH
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3719
Practice Address - Country:US
Practice Address - Phone:787-200-8650
Practice Address - Fax:787-200-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty