Provider Demographics
NPI:1831176684
Name:LLORENS, JOSE L (DC)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:L
Last Name:LLORENS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 S OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5617
Mailing Address - Country:US
Mailing Address - Phone:561-659-6636
Mailing Address - Fax:561-802-3021
Practice Address - Street 1:219 S OLIVE AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5617
Practice Address - Country:US
Practice Address - Phone:561-659-6636
Practice Address - Fax:561-802-3021
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70107OtherBLUE CROSS BLUE SHIELD
FL70107OtherBLUE CROSS BLUE SHIELD
FL70107XMedicare PIN