=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689537193
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AT EASE CHIROPRACTIC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/03/2025
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 CALLE 6A URB CANA
-----------------------------------------------------
City | BAYAMON
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00957
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-401-5868
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | RR 11 BOX 5607
-----------------------------------------------------
City | BAYAMON
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00956-9715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-401-5868
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. HECTOR GABRIEL CRUZ SANCHEZ
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 787-446-1990
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------