Healthcare Provider Details

I. General information

NPI: 1174396618
Provider Name (Legal Business Name): JOSE MIGUEL ADORNOFEBO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARGINAL ELLIOT VELEZ J-20
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 2173
MANATI PR
00674-2173
US

V. Phone/Fax

Practice location:
  • Phone: 939-321-0908
  • Fax:
Mailing address:
  • Phone: 939-321-0908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number924
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number924
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: