Provider Demographics
NPI:1033926514
Name:CLINICA QUIROPRACTICA EQUILIBRIO, LLC
Entity type:Organization
Organization Name:CLINICA QUIROPRACTICA EQUILIBRIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHRIOPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUTIERREZ-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-528-2018
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-0040
Mailing Address - Country:US
Mailing Address - Phone:787-547-1234
Mailing Address - Fax:787-561-7464
Practice Address - Street 1:CARR. 156 KM 48.3
Practice Address - Street 2:BO. MULAS
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703
Practice Address - Country:US
Practice Address - Phone:787-528-2018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty