Active NPI
Clinica Quiropractica Equilibrio, LLC
- Rehabilitation Chiropractor
- Aguas Buenas, PR
National Provider Identifier
1033926514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- CLINICA QUIROPRACTICA EQUILIBRIO, LLC
- Practice address
- Carr. 156 KM 48.3
Bo. Mulas
Aguas Buenas, PR 00703 - Phone
- (787) 528-2018
- NPI assigned
- Dec 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oscar A Gutierrez-Rodriguez, D.C.
- Title
- Chriopractor
- Phone
- (787) 528-2018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
Carr. 156 KM 48.3
Bo. Mulas
Aguas Buenas, PR 00703
Mailing address
PO Box 40
Aguas Buenas, PR 00703-0040
Phone (787) 547-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- San Juan, PR
- NPI 1124790076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1033926514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "007030040",
"telephone_number": "787-547-1234",
"fax_number": "787-561-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 156 KM 48.3",
"address_2": "BO. MULAS",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "00703",
"telephone_number": "787-528-2018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA QUIROPRACTICA EQUILIBRIO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "GUTIERREZ-RODRIGUEZ",
"authorized_official_first_name": "OSCAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHRIOPRACTOR",
"authorized_official_telephone_number": "787-528-2018",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguas Buenas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.