Provider Demographics
NPI:1225687031
Name:NAVARRO, CARMEN B (DC)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:B
Last Name:NAVARRO
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 1:23 EST DE CIDRA
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9511
Mailing Address - Country:US
Mailing Address - Phone:787-469-8497
Mailing Address - Fax:
Practice Address - Street 1:JARDINES SHOPPING CENTER, URB JARDINES DE CAGUAS
Practice Address - Street 2:17 CALLE A SUITE 5
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-2504
Practice Address - Country:US
Practice Address - Phone:787-998-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor