Provider Demographics
NPI:1568066538
Name:OFICINA QUIROPRACTICA DRA. LORELYS MOJICA CORP.
Entity Type:Organization
Organization Name:OFICINA QUIROPRACTICA DRA. LORELYS MOJICA CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORELYS
Authorized Official - Middle Name:HELENA
Authorized Official - Last Name:MOJICA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-300-0853
Mailing Address - Street 1:PO BOX 12143
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00914-0143
Mailing Address - Country:US
Mailing Address - Phone:787-300-0853
Mailing Address - Fax:
Practice Address - Street 1:SANTIAGO IGLESIAS
Practice Address - Street 2:1445 CALLE MANUEL OCASIO ESQUINA AVENIDA PAZ GRANELA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4132
Practice Address - Country:US
Practice Address - Phone:787-300-0853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty