Provider Demographics
NPI:1609532050
Name:HEALTH CHIROPRACTIC CAGUAS, LLC
Entity Type:Organization
Organization Name:HEALTH CHIROPRACTIC CAGUAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:JARROT SIERRA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-630-7766
Mailing Address - Street 1:PO BOX 1623
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-1623
Mailing Address - Country:US
Mailing Address - Phone:787-221-5228
Mailing Address - Fax:787-961-4864
Practice Address - Street 1:#1 CALLE FOMENTO SUITE #240
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-221-5228
Practice Address - Fax:787-961-4864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty