Provider Demographics
NPI:1184229221
Name:MANAT9I CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:MANAT9I CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:RAHELI
Authorized Official - Middle Name:
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-854-1500
Mailing Address - Street 1:PO BOX 834
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0834
Mailing Address - Country:US
Mailing Address - Phone:787-854-1500
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 KM 44.5
Practice Address - Street 2:BO. CANTERAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty