Healthcare Provider Details

I. General information

NPI: 1720878960
Provider Name (Legal Business Name): QUIRUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 CARR 149 STE 1
MANATI PR
00674-9459
US

IV. Provider business mailing address

PO BOX 1552
CIALES PR
00638-1552
US

V. Phone/Fax

Practice location:
  • Phone: 939-321-5559
  • Fax:
Mailing address:
  • Phone: 939-321-5559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAHAIRA CRUZ PAGAN
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 939-321-5559