Healthcare Provider Details

I. General information

NPI: 1598602609
Provider Name (Legal Business Name): SPINELAB CHIROPRACTIC AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3819 AVE ISLA VERDE APT 4B
CAROLINA PR
00979-6711
US

IV. Provider business mailing address

3819 AVE ISLA VERDE APT 4B
CAROLINA PR
00979-6711
US

V. Phone/Fax

Practice location:
  • Phone: 787-637-7797
  • Fax:
Mailing address:
  • Phone: 787-637-7797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHELLE MONTCOURT
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 787-637-7797