MEDICARE: HECTOR FABIAN DE JESUS MILLAN DC

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	1085	PR

General Provider Information

NPI Number	:	1376413468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR FABIAN DE JESUS MILLAN DC

Provider Business Mailing Address
First Line	:	HC 1 BOX 31243
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795-9751
Country	:	US
Telephone Number	:	787-378-9830
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 AVE RAFAEL CORDERO STE 42
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-3740
Country	:	US
Telephone Number	:	787-321-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	04/15/2026

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