Organization Active NPI

Clinica Quiropractica Dr Jacob Anaya

  • Chiropractor
  • Bayamon, PR
National Provider Identifier
1043530108
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
361 Issued in PR
Legal business name
CLINICA QUIROPRACTICA DR JACOB ANAYA
Practice address
Calle Santa Cruz # 53
Urb Santa Cruz
Bayamon, PR 00961-0000
Phone
(787) 780-3762
Fax
(787) 787-0347
NPI assigned
Jun 10, 2010
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Jacob Anaya, DCNPI 1225188048
Title
Chiropractor
Phone
(787) 780-3762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 361 PR Primary

Addresses

Primary practice location

Calle Santa Cruz # 53
Urb Santa Cruz
Bayamon, PR 00961-0000

Mailing address

Calle Santa Cruz # 53
Urb Santa Cruz
Bayamon, PR 00961-0000
Phone (787) 780-3762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000551 PR Part B Supplier - Clinic/Group Practice 6204015449 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1043530108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ # 53",
            "address_2": "URB SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009610000",
            "telephone_number": "787-780-3762",
            "fax_number": "787-787-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ # 53",
            "address_2": "URB SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009610000",
            "telephone_number": "787-780-3762",
            "fax_number": "787-787-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA QUIROPRACTICA DR JACOB ANAYA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ANAYA",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "787-780-3762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.