Individual provider Active NPI

Andrea Refojos Liano, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1063114205
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13997 Issued in FL
Practice address
1477 Ave Paz Granela
San Juan, PR 00921-4125
Phone
(787) 479-2847
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13997 FL Primary

Addresses

Primary practice location

1477 Ave Paz Granela
San Juan, PR 00921-4125

Mailing address

1921 Calle Trinitaria
San Juan, PR 00927-6613
Phone (787) 479-2847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829004760 FL Practitioner - Chiropractic 4880133149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revival Chiropractic LLCGroup PAC ID 9739468828, 3 clinicians

Practice addresses (Care Compare)

955 W State Rd
436 Suite 1040
Altamonte Springs, FL 32714-2917
Phone (407) 403-5567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Family Chiropractic LLC Chiropractor Current Accepting new patients
Revival Chiropractic LLC Chiropractor CurrentSince Aug 31, 2024 Accepting new patients

Locations

955 W State Road 436
Ste 1040
Altamonte Springs, FL 32714
Phone (321) 794-8877

1477 Ave Paz Granela
San Juan, PR 00921
Phone (787) 479-2847

Organizations & group practices 2

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": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1063114205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 CALLE TRINITARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276613",
            "telephone_number": "787-479-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 AVE PAZ GRANELA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214125",
            "telephone_number": "787-479-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFOJOS LIANO",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13997",
            "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 7, 2026; 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.