Provider Demographics
NPI:1952818072
Name:KAIROS CORP
Entity Type:Organization
Organization Name:KAIROS CORP
Other - Org Name:CHIROPRACTIC CLINICS OF PUERTO RICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRILLO-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-790-7855
Mailing Address - Street 1:PO BOX 2136
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2136
Mailing Address - Country:US
Mailing Address - Phone:787-790-7855
Mailing Address - Fax:787-709-4751
Practice Address - Street 1:LOS FRAILES CALLE D Y E
Practice Address - Street 2:SUITE 205 CARIBBEAN CINEMAS BLDG
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00970
Practice Address - Country:US
Practice Address - Phone:787-790-7855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR513111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty