Individual provider Active NPI

Melissa Marie Gonzalez Castro, D.C.

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1043430283
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
458 Issued in PR
Practice address
403 Calle Pedro Espada
Suite 1
San Juan, PR 00918-2800
Phone
(787) 306-5623
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 458 PR Primary

Addresses

Primary practice location

403 Calle Pedro Espada
Suite 1
San Juan, PR 00918-2800

Mailing address

403 Calle Pedro Espada
Suite 1
San Juan, PR 00918-2800
Phone (787) 306-5623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170720001837 PR Practitioner - Chiropractic 2466453667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

403 Calle Pedro Espada
Suite 1
San Juan, PR 00918-2800
Phone (787) 763-1660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
458PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Quiropractico del Caribe C.S.P. Chiropractor CurrentSince May 3, 2017 Accepting new patients

Locations

403 Calle Pedro Espada
Ste 1
San Juan, PR 00918
Phone (787) 306-5623

Organizations & group practices 1

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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1043430283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CALLE PEDRO ESPADA",
            "address_2": "SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182800",
            "telephone_number": "787-306-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CALLE PEDRO ESPADA",
            "address_2": "SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182800",
            "telephone_number": "787-306-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CASTRO",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "458",
            "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 Mar 31, 2017; 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.