NPI 1053761353

Jose J Chiclana, LMT

Practitioner Massage Therapist Bayamon, PR

Practice location

Address: 100 Ave Laurel Cumic, Santa Juanita, Bayamon, PR 00956-4816
Phone: (787) 798-3001
Mailing address: 82 Calle Azucena Estancias de La Fuente, Toa Alta, PR 00953-3611

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 144 (PR)

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Registry record

NPI: 1053761353
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2016
Record last updated: 16 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.