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NPI Code Detail

MEDICARE: JUAN CARLOS CHIQUITO PT, DPT

MEDICARE:   JUAN CARLOS CHIQUITO  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT13232FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT13232OTHERFLPHYSICAL THERAPY LICENSE

General Provider Information

NPI Number : 1932637063
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN CARLOS CHIQUITO PT, DPT
Provider Business Mailing Address
First Line : 15660 SW 40TH ST
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-4806
Country : US
Telephone Number : 305-407-5468
Fax Number :
Provider Business Practice Location Address
First Line : 9400 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-1434
Country : US
Telephone Number : 305-385-8290
Fax Number : 305-383-2848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2017
Last Update Date : 06/02/2017

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Directions to “ JUAN CARLOS CHIQUITO PT, DPT” Practice Location

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