Provider Demographics
NPI:1720378680
Name:SALUD QUIROPRACTICA, PSC
Entity type:Organization
Organization Name:SALUD QUIROPRACTICA, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DELERME
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-705-7800
Mailing Address - Street 1:PO BOX 10065
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0065
Mailing Address - Country:US
Mailing Address - Phone:787-705-7800
Mailing Address - Fax:787-705-7880
Practice Address - Street 1:1498 AVE FD ROOSEVELT
Practice Address - Street 2:SUITE 211
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2736
Practice Address - Country:US
Practice Address - Phone:787-705-7800
Practice Address - Fax:787-705-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty