| Vive Quiropractica | |
|
9 Calle Barcelo Bldg Suite102 Barranquitas PR 00794-1779 | |
| (939) 409-0529 | |
| Not Available |
| Full Name | Vive Quiropractica |
|---|---|
| Speciality | Clinic/Center |
| Location | 9 Calle Barcelo Bldg Suite102, Barranquitas, Puerto Rico |
| Authorized Official Name and Position | Paola Z Lasanta (CHIROPRACTOR) |
| Authorized Official Contact | 9394090529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vive Quiropractica 9 Calle Barcelo Bldg Suite102 Barranquitas PR 00794-1779 Ph: (939) 409-0529 | Vive Quiropractica 9 Calle Barcelo Bldg Suite102 Barranquitas PR 00794-1779 Ph: (939) 409-0529 |
| NPI Number | 1720709538 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 09/15/2022 |
| Medicare PECOS PAC ID | 4981062676 |
|---|---|
| Medicare Enrollment ID | O20230628002100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720709538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Paola Zoe Lasanta |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093435596 PECOS PAC ID: 9234597923 Enrollment ID: I20230715000654 |
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