Provider Demographics
NPI:1811262611
Name:SEBA CHIROPRACTIC SERVICES P.S.C.
Entity type:Organization
Organization Name:SEBA CHIROPRACTIC SERVICES P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BONNIN GIROD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-792-3712
Mailing Address - Street 1:URB. GARDENVILLE
Mailing Address - Street 2:#D-14C/BUEN SAMARITANO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-792-3712
Mailing Address - Fax:787-775-6427
Practice Address - Street 1:URB. GARDENVILLE
Practice Address - Street 2:#D-14C/BUEN SAMARITANO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-792-3712
Practice Address - Fax:787-775-6427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty