Provider Demographics
NPI:1114232881
Name:HEALING HANDS CENTER-DRA GMDS, P.S.C.
Entity Type:Organization
Organization Name:HEALING HANDS CENTER-DRA GMDS, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GISELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-748-8585
Mailing Address - Street 1:PLAZA SAN MIGUEL
Mailing Address - Street 2:SUITE 208 MANUEL RIVERA MORALES EXPRESSWAY
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-3906
Mailing Address - Country:US
Mailing Address - Phone:787-748-8585
Mailing Address - Fax:787-748-8787
Practice Address - Street 1:PLAZA SAN MIGUEL
Practice Address - Street 2:SUITE 208 MANUEL RIVERA MORALES EXPRESSWAY
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3906
Practice Address - Country:US
Practice Address - Phone:787-748-8585
Practice Address - Fax:787-748-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty