| Vita Chiropractic L.l.c. | |
|
Urb. Hnas Davila J9 Ave. Betances Bayamon PR 00959-5108 | |
| (787) 529-0582 | |
| Not Available |
| Full Name | Vita Chiropractic L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | Urb. Hnas Davila J9 Ave. Betances, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Ninoshka Tirado Perez (DOCTOR/VICE PRESIDENT) |
| Authorized Official Contact | 7875290582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Chiropractic L.l.c. Urb. Hnas Davila J9 Ave. Betances Bayamon PR 00959-5108 Ph: () - | Vita Chiropractic L.l.c. Urb. Hnas Davila J9 Ave. Betances Bayamon PR 00959-5108 Ph: (787) 529-0582 |
| NPI Number | 1104565704 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/08/2022 |
| Medicare PECOS PAC ID | 6800271834 |
|---|---|
| Medicare Enrollment ID | O20220912003019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104565704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kiefer Sotomayor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366181968 PECOS PAC ID: 7618352642 Enrollment ID: I20220912003094 |
| Provider Name | Ninoshka Tirado Perez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932848520 PECOS PAC ID: 2668857608 Enrollment ID: I20220912003337 |
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