Provider Demographics
NPI:1093422404
Name:LAPORTE ESTELA, YOLANDA
Entity type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:
Last Name:LAPORTE ESTELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EXT. LAS MARIAS
Mailing Address - Street 2:48 CALLE G
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-901-6018
Mailing Address - Fax:
Practice Address - Street 1:CALLE HOSTOS #5
Practice Address - Street 2:LOCAL B
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-901-6018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010904111N00000X
PR000974111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor