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NPI 1578431888

NPI 1578431888 : QUIROPRACTICA BIENESTAR LLC : CAMUY, PR

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General NPI Number Information
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    NPI Number           |    1578431888
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUIROPRACTICA BIENESTAR LLC 
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Dates
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    Enumeration Date     |    10/28/2025
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    Last Update Date     |    01/05/2026
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Provider Practice Location Address
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    Address Line         |    6 CLL RAMON F CABAN 
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    City                 |    CAMUY
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    State                |    PR
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    Zip                  |    00627
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    Country              |    US
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    Telephone            |    787-262-0444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1273 
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    City                 |    HATILLO
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    State                |    PR
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    Zip                  |    00659-1273
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. EDGARDO SAMUEL PEREZ-MARTINEZ 
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    Credential           |    DC
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    Telephone            |    787-262-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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