Provider Demographics
NPI:1629784525
Name:CENTRO DE SALUD QUIROPRACTICO
Entity Type:Organization
Organization Name:CENTRO DE SALUD QUIROPRACTICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMACHO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-307-9205
Mailing Address - Street 1:CALLE PACHECO #20
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-307-9205
Mailing Address - Fax:
Practice Address - Street 1:CALLE PACHECO #20
Practice Address - Street 2:SUITE 4A
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-307-9205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center