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General NPI Number Information
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NPI Number | 1407740830
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Entity Type | Organization
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Legal Business Name | DIAVEL LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1270 AVE JESUS T PINERO
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City | SAN JUAN
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State | PR
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Zip | 00921-1616
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Country | US
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Telephone | 787-598-0731
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Fax | 787-782-0377
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Provider Business Mailing Address
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Address Line | 1270 AVE JESUS T PINERO
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City | SAN JUAN
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State | PR
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Zip | 00921-1616
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Country | US
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Telephone | 787-598-0731
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Fax | 787-782-0377
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Authorized Official
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Title or Position | OWNER
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Name | GLENDA M VELAZQUEZ SANTIAGO
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Credential | DC
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Telephone | 787-602-6349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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