Provider Demographics
NPI:1508553058
Name:QUIROPRACTICA NEUROLOGICA Y FAMILIAR DRA. MARRERO
Entity Type:Organization
Organization Name:QUIROPRACTICA NEUROLOGICA Y FAMILIAR DRA. MARRERO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ HEAD DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MARRERO SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-449-2985
Mailing Address - Street 1:QUINTAS DE MOROVIS
Mailing Address - Street 2:46 PASEO FELICIDAD
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687
Mailing Address - Country:US
Mailing Address - Phone:787-449-2985
Mailing Address - Fax:
Practice Address - Street 1:PR-633 KM 4.9, BO. BARAHONA
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-0000
Practice Address - Country:US
Practice Address - Phone:787-449-2985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty