Individual provider Active NPI

Luis B Rivera Nazario, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1013002377
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
418 Issued in PR
Practice address
525 Ave FD Roosevelt
La Torre de Plaza, Suite 805
San Juan, PR 00918-8001
Phone
(787) 233-1001
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 418 PR Primary

Addresses

Primary practice location

525 Ave FD Roosevelt
La Torre de Plaza, Suite 805
San Juan, PR 00918-8001

Mailing address

PO Box 1560
Trujillo Alto, PR 00977-1560
Phone (787) 233-1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000443 PR Practitioner - Chiropractic 1254333446 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quiroplaza LLCGroup PAC ID 3870961410, 2 clinicians

Practice addresses (Care Compare)

525 Ave FD Roosevelt Torre Plaza Las
Ofic 805
San Juan, PR 00918
Phone (787) 294-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Network Services of Puerto Rico LLC Chiropractor CurrentSince Jan 13, 2024 Accepting new patients
Quiroplaza LLC Chiropractor CurrentSince Oct 31, 2022 Accepting new patients

Locations

525 Ave Fd Roosevelt
Ofc 805
San Juan, PR 00918
Phone (787) 233-1001

Interoperability endpoints

  • Direct secure messaging: luis@cq0001.direct.chirotouch.md

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1013002377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771560",
            "telephone_number": "787-233-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "LA TORRE DE PLAZA, SUITE 805",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-233-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA NAZARIO",
        "first_name": "LUIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.