Provider Demographics
NPI:1548048416
Name:OYOLA - ARROYO, JOCSAN KEMUEL (DC)
Entity type:Individual
Prefix:
First Name:JOCSAN
Middle Name:KEMUEL
Last Name:OYOLA - ARROYO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153-13 BO CANTERA
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5086
Mailing Address - Country:US
Mailing Address - Phone:787-528-8098
Mailing Address - Fax:
Practice Address - Street 1:153-13 BO CANTERA
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5086
Practice Address - Country:US
Practice Address - Phone:787-528-8098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty