Healthcare Provider Details

I. General information

NPI: 1487589594
Provider Name (Legal Business Name): RACIEL RAY ESCALONA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5289 CANNON WAY
WEST PALM BEACH FL
33415-3700
US

IV. Provider business mailing address

5289 CANNON WAY
WEST PALM BEACH FL
33415-3700
US

V. Phone/Fax

Practice location:
  • Phone: 561-900-8792
  • Fax:
Mailing address:
  • Phone: 561-900-8792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15966
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: