Healthcare Provider Details

I. General information

NPI: 1669384327
Provider Name (Legal Business Name): EQUILIBRIUM CLINICA QUIROPRACTICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CALLE JOSE DE DIEGO
GUAYANILLA PR
00656-1805
US

IV. Provider business mailing address

9 CALLE JOSE DE DIEGO
GUAYANILLA PR
00656-1805
US

V. Phone/Fax

Practice location:
  • Phone: 787-913-0900
  • Fax: 787-913-9556
Mailing address:
  • Phone: 787-913-0900
  • Fax: 787-913-9556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ADA EILLEEN CARABALLO VELEZ
Title or Position: CHIROPRACTOR - PRESIDENT
Credential: DC
Phone: 404-409-9545