Provider Demographics
NPI:1023484227
Name:HUERTAS IRIZARRY, ADRIANA (DC)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:HUERTAS IRIZARRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1083
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1083
Mailing Address - Country:US
Mailing Address - Phone:407-595-8909
Mailing Address - Fax:
Practice Address - Street 1:1791 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9744
Practice Address - Country:US
Practice Address - Phone:407-588-1726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor