Provider Demographics
NPI:1497506646
Name:CARRERO, ORLANDO ALEXIS (DC)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:ALEXIS
Last Name:CARRERO
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 1:7630 W GLOBE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-1678
Mailing Address - Country:US
Mailing Address - Phone:787-923-8830
Mailing Address - Fax:
Practice Address - Street 1:2929 N 75TH AVE STE 15
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-5443
Practice Address - Country:US
Practice Address - Phone:602-222-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9351111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor