Provider Demographics
NPI:1295416477
Name:PRANA CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:PRANA CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:OJEDA IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-922-1962
Mailing Address - Street 1:18 PRADERA EST DE LA FUENTE
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-922-1962
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2 KM 16.17 BO. CANDELARIA
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty