Healthcare Provider Details

I. General information

NPI: 1689578056
Provider Name (Legal Business Name): GABRIELA RIOS HERNANDEZ DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 CALLE JUAN CALAF STE 7C
SAN JUAN PR
00918-1324
US

IV. Provider business mailing address

B1-15 CALLE 10
BAYAMON PR
00957-1612
US

V. Phone/Fax

Practice location:
  • Phone: 787-509-6575
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1201
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: