Provider Demographics
NPI:1376892927
Name:CLINICA QUIROPRACTICA DR. LUIS RIVERA ALLENDE, P.S.C.
Entity Type:Organization
Organization Name:CLINICA QUIROPRACTICA DR. LUIS RIVERA ALLENDE, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:RIVERA ALLENDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-768-8319
Mailing Address - Street 1:4MN6 VIA 33
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-4745
Mailing Address - Country:US
Mailing Address - Phone:787-768-8319
Mailing Address - Fax:
Practice Address - Street 1:4MN6 VIA 33
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-4745
Practice Address - Country:US
Practice Address - Phone:787-768-8319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty