Provider Demographics
NPI:1427460328
Name:RODRIGUEZ AROCHO, JONATHAN IVAN (DC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:IVAN
Last Name:RODRIGUEZ AROCHO
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:PO BOX 5332
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-5332
Mailing Address - Country:US
Mailing Address - Phone:787-680-5103
Mailing Address - Fax:
Practice Address - Street 1:CARR 111 KM 16.8 INT
Practice Address - Street 2:BO GUATEMALA, SUIT 3
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-680-5103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11217111N00000X
PR531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR038725600Medicaid