| NPI | 1871310227 |
|---|---|
| Former Legal Business Name | FUNCTIONAL SPINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN X MORALES AVILA Doctor 787-309-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |