Provider Demographics
NPI:1578597266
Name:QUIROPRACTIKA CSP
Entity Type:Organization
Organization Name:QUIROPRACTIKA CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERUSHKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-744-3348
Mailing Address - Street 1:PMB 235
Mailing Address - Street 2:35 JUAN BORBON #67
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-744-3348
Mailing Address - Fax:787-746-6380
Practice Address - Street 1:CONDADO MODERNO
Practice Address - Street 2:CALLE 8 B-40
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-3348
Practice Address - Fax:787-746-6380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0062669Medicare ID - Type Unspecified