Provider Demographics
NPI:1447073960
Name:MASTERPIECE CHIROPRACTIC
Entity type:Organization
Organization Name:MASTERPIECE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENIFFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:VEGA GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-237-3098
Mailing Address - Street 1:RR 1 BOX 2110
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-9664
Mailing Address - Country:US
Mailing Address - Phone:787-237-3098
Mailing Address - Fax:
Practice Address - Street 1:CARR. 315 BO. SABANA YEGUAS DE LAJAS,
Practice Address - Street 2:CENTRO COMERCIAL MUNICIPAL, EDF 2 LOCAL 4
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667
Practice Address - Country:US
Practice Address - Phone:787-237-3098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty