Provider Demographics
NPI:1891225587
Name:QUIROPRACTICA FUNCIONAL
Entity Type:Organization
Organization Name:QUIROPRACTICA FUNCIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:APOLONIA
Authorized Official - Middle Name:KLOE
Authorized Official - Last Name:GONZALEZ-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-373-8464
Mailing Address - Street 1:274 VIA CANADA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3052
Mailing Address - Country:US
Mailing Address - Phone:787-344-6181
Mailing Address - Fax:
Practice Address - Street 1:BS6 CALLE 18
Practice Address - Street 2:AVE LAS AMERICAS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-344-6181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty