Provider Demographics
NPI:1467088658
Name:MARCIAL, JOAQUIN ARMANDO (DC)
Entity Type:Individual
Prefix:DR
First Name:JOAQUIN
Middle Name:ARMANDO
Last Name:MARCIAL
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 1:3178 CALLE TAZMANIA
Mailing Address - Street 2:URB ISLAZUL
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:787-378-8392
Mailing Address - Fax:
Practice Address - Street 1:3178 CALLE TAZMANIA
Practice Address - Street 2:URB ISLAZUL
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-378-8392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor