Provider Demographics
NPI:1902451297
Name:ALVARADO SANTIAGO, LUZIANNE (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:
First Name:LUZIANNE
Middle Name:
Last Name:ALVARADO SANTIAGO
Suffix:
Gender:F
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 4134
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-9830
Mailing Address - Country:US
Mailing Address - Phone:787-377-6143
Mailing Address - Fax:
Practice Address - Street 1:22 CALLE BARCELO
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-3102
Practice Address - Country:US
Practice Address - Phone:787-377-6143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor