Provider Demographics
NPI:1508013467
Name:CHAPARRO, JOANN (MT)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:CHAPARRO
Suffix:
Gender:F
Credentials:MT
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 317
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-0317
Mailing Address - Country:US
Mailing Address - Phone:787-826-4490
Mailing Address - Fax:787-826-4490
Practice Address - Street 1:CARR 402 KM 2.0 BO. MARIAS
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-4490
Practice Address - Fax:787-826-4490
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR999246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR30101OtherMEDICARE PROVIDER NUMBER
PR999OtherCLINICAL LABORATORY DEPARMENT OF HEALTH LICENCE