Provider Demographics
NPI:1003156084
Name:JARROT, JORGE R (DC)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:R
Last Name:JARROT
Suffix:
Gender:M
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 2059
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-2059
Mailing Address - Country:US
Mailing Address - Phone:787-221-8828
Mailing Address - Fax:787-961-4864
Practice Address - Street 1:CARR #3 K.M 19.9 BARRIO DOS CUERDAS
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-221-8828
Practice Address - Fax:787-961-4864
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor