Provider Demographics
NPI:1932454741
Name:ENERGETIKS CHIROPRACTIC CENTER, PSC
Entity type:Organization
Organization Name:ENERGETIKS CHIROPRACTIC CENTER, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARRIETA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-244-4671
Mailing Address - Street 1:10-23 CALLE 3
Mailing Address - Street 2:URB SANTA ROSA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-6612
Mailing Address - Country:US
Mailing Address - Phone:787-244-4671
Mailing Address - Fax:800-718-5440
Practice Address - Street 1:J13 CALLE 2
Practice Address - Street 2:EXT HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5068
Practice Address - Country:US
Practice Address - Phone:787-998-7979
Practice Address - Fax:800-718-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty