Provider Demographics
NPI:1114388766
Name:CLINICA DR FERRERAS INC
Entity Type:Organization
Organization Name:CLINICA DR FERRERAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:939-218-9614
Mailing Address - Street 1:654 AVE MUNOZ RIVERA
Mailing Address - Street 2:SUITE 1827
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4108
Mailing Address - Country:US
Mailing Address - Phone:939-218-9614
Mailing Address - Fax:787-765-0239
Practice Address - Street 1:654 AVE MUNOZ RIVERA
Practice Address - Street 2:SUITE 1827
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4108
Practice Address - Country:US
Practice Address - Phone:939-218-9614
Practice Address - Fax:787-765-0239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR111N00000XOtherCOMMERCIAL