Healthcare Provider Details

I. General information

NPI: 1992673206
Provider Name (Legal Business Name): ROBERT RIJOS ALVAREZ DC
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 AVE JUAN PONCE DE LEON, HATO REY 206
SAN JUAN PR
00918
US

IV. Provider business mailing address

6300 AVE ISLA VERDE APT 410
CAROLINA PR
00979-7155
US

V. Phone/Fax

Practice location:
  • Phone: 787-460-7871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number1111
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: