Provider Demographics
NPI:1336725902
Name:CONECTA CLINICA QUIROPRACTICA, PSC
Entity type:Organization
Organization Name:CONECTA CLINICA QUIROPRACTICA, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ OLIVARI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-457-7654
Mailing Address - Street 1:1581 CALLE CAVALIERI STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6114
Mailing Address - Country:US
Mailing Address - Phone:939-224-3881
Mailing Address - Fax:
Practice Address - Street 1:1581 CALLE CAVALIERI STE 1
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6114
Practice Address - Country:US
Practice Address - Phone:939-224-3881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center