Provider Demographics
NPI:1700200110
Name:LOZADA SIERRA, JOSE LUIS II (LCDO)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LUIS
Last Name:LOZADA SIERRA
Suffix:II
Gender:M
Credentials:LCDO
Other - Prefix:DR
Other - First Name:JOSE
Other - Middle Name:LUIS
Other - Last Name:LOZADA SIERRA
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1750
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1750
Mailing Address - Country:US
Mailing Address - Phone:787-466-6041
Mailing Address - Fax:
Practice Address - Street 1:TERRALINDA ZARRAGOZA#9
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-466-6041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-06
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1670133NN1002X
PR977111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education