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NPI Code Detail

MEDICARE: CLINICA QUIROPRACTICA JARROT SIERRA,CSP

MEDICARE: CLINICA QUIROPRACTICA JARROT SIERRA,CSP
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
1111N00000XChiropractor260 319PR

General Provider Information

NPI Number : 1316999253
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICA QUIROPRACTICA JARROT SIERRA,CSP
Provider Business Mailing Address
First Line : 1051 AVE JESUS T PINERO
Second Line :
City : SAN JUAN
State : PR
Zip : 00920-5602
Country : US
Telephone Number : 787-277-5966
Fax Number :
Provider Business Practice Location Address
First Line : 1051 AVE JESUS T PINERO
Second Line :
City : SAN JUAN
State : PR
Zip : 00920-5602
Country : US
Telephone Number : 787-277-5966
Fax Number : 787-277-5962
Authorized Official
Title or Position : DR.
Name : DR. IRMA I SIERRA
Credential : DC
Telephone Number : 787-277-5966
Provider Enumeration Date : 05/17/2006
Last Update Date : 05/11/2009

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