MEDICARE: MADRID CHIROPRACTIC LLC

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	:	1891637120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MADRID CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2450 S 4TH AVE STE 108A
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-7234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2450 S 4TH AVE STE 108A
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-7234
Country	:	US
Telephone Number	:	928-655-2008
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DEVON MADRID
Credential	:	DC
Telephone Number	:	928-655-2008

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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