| Advanced Rehab Chiropractic, LLC | |
|
Centro Comercial Plaza Miliangie Bo. Montellano Carr 14 Local 5 Cayey PR 00736 | |
| (787) 310-8748 | |
| Not Available |
| Full Name | Advanced Rehab Chiropractic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | Centro Comercial Plaza Miliangie Bo. Montellano Carr 14, Cayey, Puerto Rico |
| Authorized Official Name and Position | Andy Rafael Ruiz Collazo (SOLE MEMBER) |
| Authorized Official Contact | 7873108748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Rehab Chiropractic, LLC Po Box 10015 Cidra PR 00739-9015 | Advanced Rehab Chiropractic, LLC Centro Comercial Plaza Miliangie Bo. Montellano Carr 14 Local 5 Cayey PR 00736 Ph: (787) 310-8748 |
| NPI Number | 1326703992 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 6507300837 |
|---|---|
| Medicare Enrollment ID | O20240627003281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326703992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Andy Rafael Ruiz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902569171 PECOS PAC ID: 8325582661 Enrollment ID: I20240820003871 |
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