Provider Demographics
NPI:1770844763
Name:CLINICA QUIROPRACTICA METROPOLITANA C.S.P.
Entity Type:Organization
Organization Name:CLINICA QUIROPRACTICA METROPOLITANA C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-782-8311
Mailing Address - Street 1:PO BOX 1193
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1193
Mailing Address - Country:US
Mailing Address - Phone:787-782-8311
Mailing Address - Fax:787-782-8311
Practice Address - Street 1:828 AVE SAN PATRICIO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1310
Practice Address - Country:US
Practice Address - Phone:787-782-8311
Practice Address - Fax:787-782-8311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty