Provider Demographics
NPI:1659628162
Name:CLINICA QUIROPRACTICA VERTEBRAS, CSP
Entity Type:Organization
Organization Name:CLINICA QUIROPRACTICA VERTEBRAS, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCAIDE MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-544-5100
Mailing Address - Street 1:272 CALLE MARGINAL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:272 CALLE MARGINAL
Practice Address - Street 2:SUITE 2
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2421
Practice Address - Country:US
Practice Address - Phone:787-544-5100
Practice Address - Fax:787-544-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty