Provider Demographics
NPI:1295903854
Name:CALBETO, JOSE IGNACIO
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:IGNACIO
Last Name:CALBETO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ESTANCIAS DE TORRIMAR
Mailing Address - Street 2:47 CALLE CALISTEMON
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-706-1763
Mailing Address - Fax:787-705-9147
Practice Address - Street 1:EDIF COOPERATIVA MOROVENA
Practice Address - Street 2:54 CALLE RESOLUCION SUITE 402 AVE ROOSVELT
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-706-1763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor