Provider Demographics
NPI:1790025047
Name:CLINICA QUIROPRACTICA JARROT SIERRA, LLC
Entity Type:Organization
Organization Name:CLINICA QUIROPRACTICA JARROT SIERRA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:I
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-277-5967
Mailing Address - Street 1:AVE JESUS T PINERO # 1051
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4003
Mailing Address - Country:US
Mailing Address - Phone:787-277-5967
Mailing Address - Fax:787-277-5962
Practice Address - Street 1:AVE JESUS T PINERO # 1051
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4003
Practice Address - Country:US
Practice Address - Phone:787-277-5967
Practice Address - Fax:787-277-5962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty