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General NPI Number Information
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NPI Number | 1497400709
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Entity Type | Organization
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Legal Business Name | SPINAL HEALTH AND WELLNESS CENTER LLC
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | HF16 CALLE LIZZIE GRAHAM # 7MA
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City | TOA BAJA
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State | PR
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Zip | 00949-3634
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Country | US
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Telephone | 787-268-7011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19892
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City | SAN JUAN
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State | PR
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Zip | 00910-1892
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Country | US
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Telephone | 787-268-7011
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE E VAZQUEZ
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Credential | DC
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Telephone | 787-268-7011
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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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