Provider Demographics
NPI:1164233441
Name:EKILIBRA LLC
Entity type:Organization
Organization Name:EKILIBRA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:LIZ
Authorized Official - Last Name:RODRIGUEZ ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-800-7397
Mailing Address - Street 1:26 CALLE DON EULOGIO
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-5055
Mailing Address - Country:US
Mailing Address - Phone:787-800-7397
Mailing Address - Fax:
Practice Address - Street 1:199 AVE TRIO VEGABAJENO KM 1.0
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-5818
Practice Address - Country:US
Practice Address - Phone:787-800-7397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty