Healthcare Provider Details

I. General information

NPI: 1255276168
Provider Name (Legal Business Name): AMANDA JOAN CHINBERG LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 AVE MUNOZ RIVERA STE 2010
SAN JUAN PR
00901-2509
US

IV. Provider business mailing address

15 AVE MUNOZ RIVERA STE 2010
SAN JUAN PR
00901-2509
US

V. Phone/Fax

Practice location:
  • Phone: 787-417-7794
  • Fax:
Mailing address:
  • Phone: 787-417-7794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1245
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: