Provider Demographics
NPI:1821800582
Name:AVIVA CHIROPRACTIC
Entity type:Organization
Organization Name:AVIVA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOMEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-424-4291
Mailing Address - Street 1:15 AVE LUIS MUNOZ RIVERA
Mailing Address - Street 2:SUITE 2010
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-2509
Mailing Address - Country:US
Mailing Address - Phone:787-417-7794
Mailing Address - Fax:
Practice Address - Street 1:15 AVE LUIS MUNOZ RIVERA
Practice Address - Street 2:SUITE 2010
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-2509
Practice Address - Country:US
Practice Address - Phone:787-417-7794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVIVA FAMILY CHIROPRACTIC, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty