Provider Demographics
NPI:1518544220
Name:CANDELARIA VIERA, CRISTINE MARIE (DC)
Entity Type:Individual
Prefix:MISS
First Name:CRISTINE
Middle Name:MARIE
Last Name:CANDELARIA VIERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40210 SECT DAMASO SOTO
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-9474
Mailing Address - Country:US
Mailing Address - Phone:787-232-3676
Mailing Address - Fax:
Practice Address - Street 1:163 B CALLE JOSE T. LINARES
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-680-7376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-27
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR735111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty