Healthcare Provider Details

I. General information

NPI: 1649180076
Provider Name (Legal Business Name): SPINE & FLOW WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

558 CALLE JUAN J. JIMENEZ
SAN JUAN PR
00918-3722
US

IV. Provider business mailing address

COND MONTEFLORES 2007 CALLE LAS VIOLETAS PH 10
SAN JUAN PR
00915-3509
US

V. Phone/Fax

Practice location:
  • Phone: 787-365-7161
  • Fax:
Mailing address:
  • Phone: 787-365-7161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANDREA M JIMENEZ NEGRON
Title or Position: PRESIDENT / OWNER
Credential:
Phone: 787-365-7161