MEDICARE: LIFE ESSENTIALS CHIROPRACTIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1336868322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE ESSENTIALS CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	8 CALLE CORDOVA
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00727-2517
Country	:	US
Telephone Number	:	787-746-5433
Fax Number	:	787-746-5433

Provider Business Practice Location Address
First Line	:	CALLE CORDOVA #8, TERRALINDA
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00727-2517
Country	:	US
Telephone Number	:	787-746-5433
Fax Number	:	787-746-5433

Authorized Official
Title or Position	:	CEO
Name	:	DR. EDDY LUIS DIAZ VALERO SR.
Credential	:	DC
Telephone Number	:	787-633-1190

Provider Enumeration Date	:	08/24/2022
Last Update Date	:	05/21/2026

Similar Medicare Providers

1265560718 — DR. EDDY LUIS DIAZ VALERO SR. CHIROPRACTOR
Practice Location Address:

URB TERRALINDA , 8 CALLE CORDOVA
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Practice Phone: 787-746-5433
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1851108047 — DIANNE L MATOS BARRETO PHD
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1811834088 — SHIVANI KASABWALA
Practice Location Address:

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1437831484 — JOHN HENRY MELENDEZ MORENO
Practice Location Address:

LUIS A. FERRE HIGHWAY EXIT #21 ROAD 172 CAGUAS TO CIDRA , TURABO GARDENS CAGUAS, PR 00725
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Practice Fax:

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