Healthcare Provider Details

I. General information

NPI: 1508013467
Provider Name (Legal Business Name): JOANN CHAPARRO M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 402 KM 2.0 BO. MARIAS
ANASCO PR
00610
US

IV. Provider business mailing address

PO BOX 317
ANASCO PR
00610-0317
US

V. Phone/Fax

Practice location:
  • Phone: 787-826-4490
  • Fax: 787-826-4490
Mailing address:
  • Phone: 787-826-4490
  • Fax: 787-826-4490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number999
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: