Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 552 | PR |
NPI | 1003156084 |
---|---|
Provider Name | Dr. Jorge R Jarrot |
First Address | Canovanas, PR 00729-2059 |
Second Address | Canovanas, PR 00729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2013 |
Last Update Date | 22/01/2020 |