Healthcare Provider Details

I. General information

NPI: 1902701105
Provider Name (Legal Business Name): EVOLVE CHIROPRACTIC AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 AVENIDA PONCE DE LEON PARADA 18 VIG TOWER SUITE 802
SAN JUAN PR
00907
US

IV. Provider business mailing address

175 AVENIDA HOSTOS COND. EL MONTE NORTE APT 517
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 787-665-6524
  • Fax:
Mailing address:
  • Phone: 787-619-6295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. PATRICIA N ZAYAS VITALI
Title or Position: OWNER
Credential: DC
Phone: 787-619-6295