Provider Demographics
NPI:1205509247
Name:RUIZ BECERRA, ADLIN (DC)
Entity type:Individual
Prefix:
First Name:ADLIN
Middle Name:
Last Name:RUIZ BECERRA
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 1:10146 STONEHENGE CIR APT 709
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3545
Mailing Address - Country:US
Mailing Address - Phone:787-507-2686
Mailing Address - Fax:
Practice Address - Street 1:10146 STONEHENGE CIR APT 709
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3545
Practice Address - Country:US
Practice Address - Phone:787-507-2686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor