Individual provider Active NPI

Jose Rafael Nieves-Lopez, DC

  • Chiropractor
  • Anasco, PR
National Provider Identifier
1003390261
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
655 Issued in PR
Practice address
Carretera PR 402 KM 2.9 Barrio Quebrada Larga
Local #6
Anasco, PR 00610
Phone
(787) 464-0184
NPI assigned
Sep 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 655 PR Primary

Addresses

Primary practice location

Carretera PR 402 KM 2.9 Barrio Quebrada Larga
Local #6
Anasco, PR 00610

Mailing address

166 Calle Confraternidad
Mayaguez, PR 00680-6215
Phone (787) 464-0184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210308002428 PR Practitioner - Chiropractic 4981010477 Reassigns benefits to 1 organization
Practice locations: Anasco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nieves Chiropractic LLC Chiropractor CurrentSince Jul 3, 2022 Accepting new patients
Nieves Chiropractic LLC Chiropractor CurrentSince Jun 27, 2023 Accepting new patients
Clinica Quiropractica Dr. Virgilio Paniagua P.S.C. Chiropractor PastSince Oct 1, 2014 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1003390261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 CALLE CONFRATERNIDAD",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806215",
            "telephone_number": "787-464-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA PR 402 KM 2.9 BARRIO QUEBRADA LARGA",
            "address_2": "LOCAL #6",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-464-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-LOPEZ",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.