Organization Active NPI

Clinica Quiropractica Equilibrio, LLC

  • Rehabilitation Chiropractor
  • Aguas Buenas, PR
National Provider Identifier
1033926514
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
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

Updated by the provider on Jan 22, 2025

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250408002146 PR Part B Supplier - Clinic/Group Practice 2264956549 Receives reassigned benefits from 3 practitioners
Practice locations: Aguas Buenas, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.