Camila Isabel Vassallo Vissepo Sr.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

960 Issued in PR

Practice address

Urb Hyde Park 285 Ave Jesus T Pinero
San Juan, PR 00926-3901

Phone

(787) 436-5595

Fax

(787) 746-5433

NPI assigned

Dec 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Essentials Chiropractic Center

  • Chiropractor
  • Caguas, PR
  • NPI 1336868322
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1063288918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB TERRALINDA",
            "address_2": "#8 CALLE CORDOVA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272517",
            "telephone_number": "787-633-1190",
            "fax_number": "787-746-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB HYDE PARK 285 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263901",
            "telephone_number": "787-436-5595",
            "fax_number": "787-746-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSALLO VISSEPO",
        "first_name": "CAMILA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R. Varisco, M.A.
• Varmed Management Group Corp
• Vascular Interpretation Group PSC
• Vascular Professional Ultrasound
• Widalys Vasquez
• Carla S Vassallo
• Rene Vazquez - Botet, M.D.
• Maritza Vazquez - Velazquez, MA
• Elsie E. Vazquez -Torres, M.D.
• Sorangely Vazquez Alicea

• Chiropractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.