SPORTS CHIROPRACTIC, PSC


Address: Urb Baralt E3 Ave Principal, Fajardo, PUERTO RICO 00738, UM
Phone: 7878632942

SPORTS CHIROPRACTIC, PSC (NPI# 1316322050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316322050
Entity Type Organization
Organization Name SPORTS CHIROPRACTIC, PSC
Practice Address Urb Baralt E3 Ave Principal
Fajardo
PUERTO RICO 00738
UM
Mailing Address Po Box 70012
Pmb 1165
Fajardo
PUERTO RICO 00738
UM
Practice Telephone 7878632942
Practice Fax Number 7876578942
Mailing Telephone 7878632942
Mailing Fax Number 7876578942
Enumeration Date 2015-07-23
Last Update Date 2015-07-23
Authorized Official Name DR. MILTON HERNADEZ SANTIAGO (OWNER)
Authorized Official Telephone 7878632942
Authorized Official Credential DC, CCSP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 302F00000X Exclusive Provider Organization 000316 PR Managed Care Organizations
Y 111NS0005X Chiropractor
Specialization: Sports Physician
000316 PR Chiropractic Providers

Office Location

Street Address URB BARALT E3 AVE PRINCIPAL
City FAJARDO
State PUERTO RICO
Zip Code 00738

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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467490706 Milton Hernandez Santiago Chiropractor Avenida Principal E3, Urb Baralt, Fajardo, PR 00738 2006-06-02

Competitor

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City FAJARDO
Zip Code 00738

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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