Active NPI
Angielle Marie Herger Reguero, DC
- Chiropractor
- San Juan, PR
National Provider Identifier
1093300790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 00740
- Practice address
- 395 Av. Ing. Manuel Domenech
San Juan, PR 00918 - Phone
- (787) 918-5191
- NPI assigned
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557723 | VA | |
| Chiropractor | 111N00000X | 00740 | PR | Primary |
Addresses
Primary practice location
395 Av. Ing. Manuel Domenech
San Juan, PR 00918
Mailing address
395 Av. Ing. Manuel Domenech
San Juan, PR 00918
Phone (787) 918-5191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241030002599 | PR | Practitioner - Chiropractic | 4082147947 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00740 | PR | MD | Chiropractor |
| 0104557723 | VA | MD | Chiropractor |
| 740 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asociacion Puertorriquena del Pulmon | Past | Accepting new patients |
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.
-
- Clinic/Center
- San Juan, PR
- NPI 1699975441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1093300790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 AV. ING. MANUEL DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-918-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 AV. ING. MANUEL DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-918-5191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERGER REGUERO",
"first_name": "ANGIELLE",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557723",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "00740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Carlos Enrique Henriquez Felipe, M.D.
- Sebastian Antonio Henriquez Lopez
- Saul Eduardo Henriquez Quinones
- Claudia Suzette Herdocia-Lluberes
- Oriana Heredia Cruz, MD
- Hermanitas Ancianos Desamparados Hogar Nuestra Senora de la
- Hermann Group, Inc.
- Paola Sofia Hermina Butler
- Xiomara Herna, OTL
- Victor R Hernandez - Pillich, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.