Healthcare Provider Details

I. General information

NPI: 1700200110
Provider Name (Legal Business Name): JOSE LUIS LOZADA SIERRA II LCDO.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOSE LUIS LOZADA SIERRA II DC

II. Dates (important events)

Enumeration Date: 02/06/2014
Last Update Date: 05/19/2024
Certification Date: 05/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TERRALINDA ZARRAGOZA#9
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 1750
CAGUAS PR
00726-1750
US

V. Phone/Fax

Practice location:
  • Phone: 787-466-6041
  • Fax:
Mailing address:
  • Phone: 787-466-6041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number1670
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number977
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: