Individual provider Active NPI

Adriana Huertas Irizarry, D.C.

  • Chiropractor
  • Oviedo, FL
National Provider Identifier
1023484227
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11617 Issued in FL
Practice address
1791 E Broadway St
Oviedo, FL 32765-9744
Phone
(407) 588-1726
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11617 FL Primary

Addresses

Primary practice location

1791 E Broadway St
Oviedo, FL 32765-9744

Mailing address

PO Box 1083
Caguas, PR 00726-1083
Phone (407) 595-8909

Other practice location 1

959 West Ave
Suite 17
Miami Beach, FL 33139-5201
Phone (305) 507-5220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619002457 FL Practitioner - Chiropractic 6507288594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oviedo Medical Clinic, LLCGroup PAC ID 7113178229, 4 clinicians

Practice addresses (Care Compare)

1791 E Broadway St
Oviedo, FL 32765-9744
Phone (407) 359-2757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11617FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oviedo Medical Clinic, LLC Chiropractor CurrentSince May 27, 2020 Accepting new patients
Dr Eric Janowitz PA Chiropractor PastSince Mar 1, 2020 Accepting new patients
Baker Medical LLC PastSince Feb 26, 2023 Accepting new patients
Kaplan Chiropractic PA Chiropractor PastSince Nov 13, 2013 Accepting new patients

Locations

1791 E Broadway St
Oviedo, FL 32765
Phone (407) 359-2757

Organizations & group practices 4

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1023484227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261083",
            "telephone_number": "407-595-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 E BROADWAY ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659744",
            "telephone_number": "407-588-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 West Ave",
            "address_2": "Suite 17",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331395201",
            "country_code": "US",
            "telephone_number": "305-507-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUERTAS IRIZARRY",
        "first_name": "ADRIANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.