Provider Demographics
NPI:1760945380
Name:DREAM BOX INC.
Entity Type:Organization
Organization Name:DREAM BOX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:MULERO SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-565-9206
Mailing Address - Street 1:COND. COSTA BRAVA
Mailing Address - Street 2:APT. 2-302
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735
Mailing Address - Country:US
Mailing Address - Phone:787-565-9206
Mailing Address - Fax:
Practice Address - Street 1:FAJARDO MARKET SQUARE
Practice Address - Street 2:CARR. #3, KM 45.4
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:939-276-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty