Provider Demographics
NPI:1487247474
Name:SALCEDO CHIROPRACTIC LLC
Entity type:Organization
Organization Name:SALCEDO CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:JUDITH
Authorized Official - Last Name:SALCEDO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-692-0133
Mailing Address - Street 1:ESTANCIAS DE LA FUENTE 9 CONDE STREET
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-247-3515
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO MEDICO HERMANAS DAVILA. CALLE B ESQ. CALLE J
Practice Address - Street 2:URB. VILLA RICA, OFC 205
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-692-0133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty