Healthcare Provider Details

I. General information

NPI: 1750285490
Provider Name (Legal Business Name): PETER SANTIESTEBAN DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8794 BOYNTON BEACH BLVD STE 216
BOYNTON BEACH FL
33472-4469
US

IV. Provider business mailing address

5533 VIA DE LA PLATA CIR
DELRAY BEACH FL
33484-6440
US

V. Phone/Fax

Practice location:
  • Phone: 845-548-9711
  • Fax:
Mailing address:
  • Phone: 845-548-9711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. PETER A SANTIESTEBAN
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 845-548-9711