| NPI | 1326617176 |
|---|---|
| Former Legal Business Name | ED SPINE CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | ERBETT SALVA DIAZ President 787-517-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-08-16 |