Individual provider Active NPI

Paola Zoe Lasanta, DC

  • Chiropractor
  • Barranquitas, PR
National Provider Identifier
1093435596
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
870 Issued in PR
Practice address
Calle Barcelo
Edificio Centro Dorado Suite 201 #9
Barranquitas, PR 00794
Phone
(787) 447-5963
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 870 PR Primary

Addresses

Primary practice location

Calle Barcelo
Edificio Centro Dorado Suite 201 #9
Barranquitas, PR 00794

Mailing address

Calle Barcelo
Edificio Centro Dorado Suite 201 #9
Barranquitas, PR 00794
Phone (787) 447-5963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230715000654 PR Practitioner - Chiropractic 9234597923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
870PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vive Quiropractica CurrentSince Mar 3, 2023 Accepting new patients

Locations

9 Calle Barcelo
Ste 102
Barranquitas, PR 00794
Phone (939) 409-0529

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1093435596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BARCELO",
            "address_2": "EDIFICIO CENTRO DORADO SUITE 201 #9",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-447-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARCELO",
            "address_2": "EDIFICIO CENTRO DORADO SUITE 201 #9",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-447-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASANTA",
        "first_name": "PAOLA",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.