Healthcare Provider Details

I. General information

NPI: 1891211470
Provider Name (Legal Business Name): ERIC MANUEL CASTRODAD SANTINI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E3 CALLE PRINCIPAL
FAJARDO PR
00738-3762
US

IV. Provider business mailing address

61 URB CAMINO REAL
CAGUAS PR
00727-9357
US

V. Phone/Fax

Practice location:
  • Phone: 407-863-2942
  • Fax:
Mailing address:
  • Phone: 407-364-4798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1141
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: