Provider Demographics
NPI:1619436649
Name:TU QUIRO, LLC
Entity Type:Organization
Organization Name:TU QUIRO, LLC
Other - Org Name:NOELIA ORTIZ-APONTE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ-APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-908-4501
Mailing Address - Street 1:PO BOX 2771
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2771
Mailing Address - Country:US
Mailing Address - Phone:787-908-4501
Mailing Address - Fax:
Practice Address - Street 1:PORTO BELLO TOWN CENTER SUITE #20
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751
Practice Address - Country:US
Practice Address - Phone:939-265-1977
Practice Address - Fax:787-561-7464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR037650100Medicaid