Healthcare Provider Details

I. General information

NPI: 1346822194
Provider Name (Legal Business Name): LAMARCHE FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO TMG 2DO PISO CALLE TOMAS DAVILA #1
BARCELONETA PR
00617
US

IV. Provider business mailing address

PO BOX 72
BARCELONETA PR
00617-0072
US

V. Phone/Fax

Practice location:
  • Phone: 787-972-1098
  • Fax:
Mailing address:
  • Phone: 787-669-5018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: STEPHANIE RAMIREZ LAMARCHE
Title or Position: PRESIDENT
Credential: DC
Phone: 787-669-5018