Provider Demographics
NPI:1700593605
Name:QUIROLEON, LLC
Entity Type:Organization
Organization Name:QUIROLEON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-771-9119
Mailing Address - Street 1:1114 CALLE VIEQUES
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1835
Mailing Address - Country:US
Mailing Address - Phone:787-667-2548
Mailing Address - Fax:
Practice Address - Street 1:404 CALLE LA RABIDA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3020
Practice Address - Country:US
Practice Address - Phone:787-771-9119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty