| NPI | 1114413259 |
|---|---|
| Former Legal Business Name | REVIVE QUIROPRACTICA, LLC |
| Entity Type | Organization |
| Authorized Contact | PAULINA BARQUERO SOTOMAYOR Chiropractor/Owner 787-751-1121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 632) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2018-07-01 |