Healthcare Provider Details

I. General information

NPI: 1760161061
Provider Name (Legal Business Name): NUEVO LEON DEVELOPMENTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 PROSPECT ST
HUDSONVILLE MI
49426-1420
US

IV. Provider business mailing address

3360 PROSPECT ST
HUDSONVILLE MI
49426-1420
US

V. Phone/Fax

Practice location:
  • Phone: 616-669-6701
  • Fax: 616-797-4025
Mailing address:
  • Phone: 616-669-6701
  • Fax: 616-797-4025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. FERNANDO SOLIS
Title or Position: PRESIDENT
Credential: DC
Phone: 616-669-6702