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General NPI Number Information
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NPI Number | 1952249534
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Entity Type | Organization
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Legal Business Name | CONEQTIV QUIROPRACTICO LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | I1 AVE BETANCES
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City | BAYAMON
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State | PR
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Zip | 00959-5257
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Country | US
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Telephone | 939-376-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 484 CALLE PIRAGUA BRISAS DE MONTECASINO
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City | TOA ALTA
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State | PR
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Zip | 00953-3836
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE MANAGER
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Name | JAVIER ANTONIO CRUZ ORTIZ
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Credential | DC
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Telephone | 787-349-6904
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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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