Provider Demographics
NPI:1558102566
Name:CAFE ALINEAO QUIROPRACTICA FAMILIAR LLC
Entity type:Organization
Organization Name:CAFE ALINEAO QUIROPRACTICA FAMILIAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-519-9945
Mailing Address - Street 1:O21 CALLE GLADIOLA
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-4233
Mailing Address - Country:US
Mailing Address - Phone:787-519-9945
Mailing Address - Fax:
Practice Address - Street 1:PR 857 KM 0 H 4
Practice Address - Street 2:BO. CANOVANILLAS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-519-9945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty