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General NPI Number Information
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NPI Number | 1902266968
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Entity Type | Organization
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Legal Business Name | CHIRO CARE PUERTO RICO, LLC
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 384 AVE DOMENECH
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City | SAN JUAN
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State | PR
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Zip | 00918-3719
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Country | US
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Telephone | 787-294-4333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13559
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City | SAN JUAN
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State | PR
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Zip | 00908-3559
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Country | US
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Telephone | 787-379-7650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANNABELLE RIVERA
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Credential | M.D., D.C.
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Telephone | 787-379-7650
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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 | 570
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License Number State | PR
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