Healthcare Provider Details

I. General information

NPI: 1033053103
Provider Name (Legal Business Name): HEALTHY SPINE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PR 2 KM 133.5 EDIFICIO CENTER PLEX SUITE 302
AGUADA PR
00602
US

IV. Provider business mailing address

HC 57 BOX 9689
AGUADA PR
00602-9712
US

V. Phone/Fax

Practice location:
  • Phone: 939-339-4351
  • Fax:
Mailing address:
  • Phone: 939-339-4351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FRANCISCO JOSE SEPULVEDA PEREZ
Title or Position: DOCTOR
Credential: DC
Phone: 939-339-4351