Organization Active NPI

Opchiropractic LLC

  • Chiropractor
  • Levitown, PR
National Provider Identifier
1093568115
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPCHIROPRACTIC LLC
Practice address
Paseo Cresta
E3178
Levitown, PR 00949
Phone
(787) 403-0703
NPI assigned
Apr 9, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Abella Diaz Ricardo
Title
Quiropractico
Phone
(787) 403-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

Paseo Cresta
E3178
Levitown, PR 00949

Mailing address

PO Box 363094
San Juan, PR 00936-3094
Phone (787) 403-0703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241009000196 PR Part B Supplier - Clinic/Group Practice 1456882851 Receives reassigned benefits from 1 practitioner
Practice locations: Toa Baja, 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": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1093568115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363094",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363094",
            "telephone_number": "787-403-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO CRESTA",
            "address_2": "E3178",
            "city": "LEVITOWN",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-403-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "RICARDO",
        "authorized_official_first_name": "ABELLA DIAZ",
        "authorized_official_title_or_position": "QUIROPRACTICO",
        "authorized_official_telephone_number": "787-403-0703"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levitown, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.