Provider Demographics
NPI:1780848705
Name:KALLIS, HELEN SOPHIA (DC)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:SOPHIA
Last Name:KALLIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 AVE PONCE DE LEON
Mailing Address - Street 2:
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00909-1844
Mailing Address - Country:US
Mailing Address - Phone:787-724-9797
Mailing Address - Fax:787-724-9700
Practice Address - Street 1:1600 AVE PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-1844
Practice Address - Country:US
Practice Address - Phone:787-724-9797
Practice Address - Fax:787-724-9700
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR440111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor