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General NPI Number Information
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NPI Number | 1154770386
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Entity Type | Organization
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Legal Business Name | CHIROSYSTEM PSC
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 155 AVE PEDRO ALBIZU CAMPOS
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City | AGUADILLA
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State | PR
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Zip | 00603-5724
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Country | US
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Telephone | 787-882-8210
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3144
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City | AGUADILLA
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State | PR
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Zip | 00605-3144
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Country | US
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Telephone | 787-882-8210
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Fax | 787-997-4700
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDGAR R RIVERA ORTIZ
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Credential |
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Telephone | 787-370-3988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 473
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License Number State | PR
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