Healthcare Provider Details

I. General information

NPI: 1376452250
Provider Name (Legal Business Name): GV GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO GUANABANO CARR #2 KM 134.1 INT 417 EDIFCIO PUCHO POOL CENTER LOCAL 201
AGUADA PR
00602
US

IV. Provider business mailing address

HC 3 BOX 31742
AGUADA PR
00602-9772
US

V. Phone/Fax

Practice location:
  • Phone: 787-341-9877
  • Fax:
Mailing address:
  • Phone: 787-341-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. STEPHANIE VAZQUEZ RUIZ
Title or Position: DR
Credential: DC
Phone: 787-341-9877