| Immanis Dignus Llc | |
|
Carr 115 Bo Calvache Km 14.1, Local 4, Rincon, PR 00677 | |
| (787) 456-6444 | |
| Not Available |
| Full Name | Immanis Dignus Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | Carr 115 Bo Calvache Km 14.1, Rincon, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790521565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Maylin A Garcia Lopez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194376921 PECOS PAC ID: 1355772088 Enrollment ID: I20200514000067 |
| Provider Name | Estefania Lopez Ortiz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477300242 PECOS PAC ID: 8123553740 Enrollment ID: I20241119004778 |
| Provider Name | Rafael Eduardo Lopez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194538413 PECOS PAC ID: 8022594548 Enrollment ID: I20260114002112 |
| Mailing Address | Practice Location Address |
|---|---|
| Immanis Dignus Llc Hc 57 Box 9702, Aguada, PR 00602-9715 Ph: (787) 427-8313 | Immanis Dignus Llc Carr 115 Bo Calvache Km 14.1, Local 4, Rincon, PR 00677 Ph: (787) 456-6444 |
Rafael Eduardo Lopez, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: Carr 115 Km 8.7, Local 4, Rincon, PR 00677 Phone: 787-456-6444 |