NPIMap

Organization Active NPI

Centro Quiropractico del Parque CSP

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1023343902
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
305 Issued in PR
Legal business name
CENTRO QUIROPRACTICO DEL PARQUE CSP
Practice address
146 Calle del Parque
San Juan, PR 00911-1919
Phone
(787) 722-5422
Fax
(787) 721-5869
NPI assigned
Oct 9, 2009
Last updated
Oct 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Dr. Carlos A Selles, D.C.
Title
Owner
Phone
(787) 722-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 305 PR Primary

Addresses

Primary practice location

146 Calle del Parque
San Juan, PR 00911-1919

Mailing address

146 Calle del Parque
San Juan, PR 00911
UM
Phone (787) 722-5422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110720000013 PR Part B Supplier - Clinic/Group Practice 1658549514 Receives reassigned benefits from 4 practitioners
Practice locations: San Juan, PR; Bayamon, PR

National Provider Directory

National Provider Directory

Locations

W4 Calle 20
Bayamon, PR 00961
Phone (787) 230-6116

146 Calle del Parque
Santurce, PR 00911
Phone (787) 722-5422

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1023343902",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "146 CALLE DEL PARQUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-722-5422",
            "fax_number": "787-721-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CALLE DEL PARQUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111919",
            "telephone_number": "787-722-5422",
            "fax_number": "787-721-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO QUIROPRACTICO DEL PARQUE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "SELLES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-722-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "305",
            "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 Oct 9, 2009; 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.