| Keyshalee Valdivieso-hernandez, DC | |
|
9726 Lake District Ln, Orlando, FL 32832-5830 | |
| (787) 941-0665 | |
| Not Available |
| Full Name | Keyshalee Valdivieso-hernandez |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 9726 Lake District Ln, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649032061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH14924 (Florida) | Primary |
| Provider Name | Celebration Family Chiropractic Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700288040 PECOS PAC ID: 0648570929 Enrollment ID: O20151119000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Keyshalee Valdivieso-hernandez, DC Rr 1 Box 6261, Guayama, PR 00784-3517 Ph: (787) 941-0665 | Keyshalee Valdivieso-hernandez, DC 9726 Lake District Ln, Orlando, FL 32832-5830 Ph: (787) 941-0665 |
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