Healthcare Provider Details

I. General information

NPI: 1437727187
Provider Name (Legal Business Name): CHIROX CHIROPRACTIC AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 12/30/2021
Certification Date: 12/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7508 AVE SFC AGUSTIN RAMOS CALERO STE 1
ISABELA PR
00662-5229
US

IV. Provider business mailing address

7508 AVE SFC AGUSTIN RAMOS CALERO STE 1
ISABELA PR
00662-5229
US

V. Phone/Fax

Practice location:
  • Phone: 939-699-6190
  • Fax: 939-699-6143
Mailing address:
  • Phone: 939-699-6190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOSE ANGEL CORCHADO PEREZ
Title or Position: OWNER
Credential:
Phone: 787-515-2876