Healthcare Provider Details

I. General information

NPI: 1376413468
Provider Name (Legal Business Name): HECTOR FABIAN DE JESUS MILLAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 AVE RAFAEL CORDERO STE 42
CAGUAS PR
00725-3740
US

IV. Provider business mailing address

HC 1 BOX 31243
JUANA DIAZ PR
00795-9751
US

V. Phone/Fax

Practice location:
  • Phone: 787-321-5000
  • Fax:
Mailing address:
  • Phone: 787-378-9830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1085
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: