Provider Demographics
NPI:1093260952
Name:JARROT SIERRA, ALEXANDRA CECILIA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:CECILIA
Last Name:JARROT SIERRA
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 1:1051 AVE JESUS T PINERO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-5602
Mailing Address - Country:US
Mailing Address - Phone:787-277-5966
Mailing Address - Fax:787-277-5962
Practice Address - Street 1:1051 AVE JESUS T PINERO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-5602
Practice Address - Country:US
Practice Address - Phone:787-277-5966
Practice Address - Fax:787-277-5962
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor