Advance Chiropractic, L.L.C.
Organization Active NPI Clinic/Center · Carolina, PR
NPI 1992954796 · NPPES record last updated Sep 17, 2008
Key facts
- NPI
- 1992954796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 433 (PR)
- Legal business name
- ADVANCE CHIROPRACTIC, L.L.C.
- Practice address
- Ave Fidalgo Diaz, Villa Fontana BL-2
Carolina, PR 00983 - Phone
- (787) 257-5200
- NPI assigned
- Sep 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Victor Manuel Cruz, D.C.
- Title
- President
- Phone
- (787) 344-6695
Practitioners 2
-
Victor Manuel Cruz, D.C.
-
John M Gonzalez, DC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 433 | PR | Yes |
Addresses
Primary practice location
Ave Fidalgo Diaz, Villa Fontana BL-2
Carolina, PR 00983
Mailing address
Valle Arriba Height
BW-7, 113 St
Carolina, PR 00983-3326
Phone (787) 344-6695
NPI Registry JSON
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221609600000",
"number": "1992954796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VALLE ARRIBA HEIGHT",
"address_2": "BW-7, 113 ST",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009833326",
"telephone_number": "787-344-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE FIDALGO DIAZ, VILLA FONTANA BL-2",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-257-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE CHIROPRACTIC, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-344-6695",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PR",
"license": "433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
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- Advance Cita Inc
- Advance Orthopedic & Prostetic Group, Inc
- Advance Sampling and Laboratory Services, Inc
- Aero Jet International Inc.
- Affordable Medical Services
All providers in Carolina, PR · Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.