| NPI | 1023164720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA L LOPEZ Doctor,Administrator 787-872-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 401) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 400) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-11-22 |