Basic Information
| Provider Information | |||||||||
| NPI: | 1629438031 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEALTH CHIROPRACTORS & MORE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 606 AVE TITO CASTRO | ||||||||
| Address2: | STE 113 | ||||||||
| City: | PONCE | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007160218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872218828 | ||||||||
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| Practice Location | |||||||||
| Address1: | 606 AVE TITO CASTRO | ||||||||
| Address2: | STE 113 | ||||||||
| City: | PONCE | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007160218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872218828 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2016 | ||||||||
| LastUpdateDate: | 01/17/2020 | ||||||||
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| AuthorizedOfficialLastName: | JARROT | ||||||||
| AuthorizedOfficialFirstName: | JORGE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7872218828 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| NPICertificationDate: | 01/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 552 | PR | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.