Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 743 | PR |
N | 111NR0400X | Rehabilitation Chiropractor | 743 | PR |
NPI | 1407455090 |
---|---|
Provider Name | Andres Ramirez Arroyo I |
First Address | Caguas, PR 00725 |
Second Address | San Juan, PR 00921-4739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2020 |
Last Update Date | 01/06/2021 |