Provider Demographics
NPI:1629879044
Name:BIOSPINA CHIROPRACTIC CLINICS LLC
Entity type:Organization
Organization Name:BIOSPINA CHIROPRACTIC CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:QADER NEZAR KHALID
Authorized Official - Last Name:SHALABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-648-6352
Mailing Address - Street 1:PO BOX 5045
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-5045
Mailing Address - Country:US
Mailing Address - Phone:787-648-6352
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO MEDICO PROFESIONAL AVENIDA
Practice Address - Street 2:CORAZONES 1065 OFICINA #109
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-648-6352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty