MEDICARE: DR. JEILENE ROLON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	709	PR

General Provider Information

NPI Number	:	1285275792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEILENE ROLON DC

Provider Business Mailing Address
First Line	:	PO BOX 13559
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00908-3559
Country	:	US
Telephone Number	:	787-379-7650
Fax Number	:

Provider Business Practice Location Address
First Line	:	384 AVE DOMENECH
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-0091
Country	:	US
Telephone Number	:	787-294-4333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2019
Last Update Date	:	02/07/2024

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Directions to “ DR. JEILENE ROLON DC” Practice Location

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