Provider Demographics
NPI:1114974870
Name:OSUNA, FEDERICO ENRIQUE (DC)
Entity Type:Individual
Prefix:DR
First Name:FEDERICO
Middle Name:ENRIQUE
Last Name:OSUNA
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:HC 4 BOX 44292
Mailing Address - Street 2:BO. TURABO
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9834
Mailing Address - Country:US
Mailing Address - Phone:787-383-8153
Mailing Address - Fax:787-703-3001
Practice Address - Street 1:LAS CATALINAS MALL
Practice Address - Street 2:SUITE #210
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5200
Practice Address - Country:US
Practice Address - Phone:787-703-3000
Practice Address - Fax:787-703-3001
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR#397111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor