Provider Demographics
NPI:1598092405
Name:GALERIA QUIROPRACTICA PSC
Entity Type:Organization
Organization Name:GALERIA QUIROPRACTICA PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-708-7766
Mailing Address - Street 1:2102 CALLE TURQUESA
Mailing Address - Street 2:URB. BUCARE SUITE 3
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5130
Mailing Address - Country:US
Mailing Address - Phone:787-708-7766
Mailing Address - Fax:
Practice Address - Street 1:2102 CALLE TURQUESA
Practice Address - Street 2:URB. BUCARE SUITE3
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5130
Practice Address - Country:US
Practice Address - Phone:787-708-7766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR35122OtherMEDICARE