Bienestar Quiropractico CSP

Organization Active NPI Chiropractor · San Juan, PR

NPI 1104172162 · NPPES record last updated Apr 29, 2025

Key facts

NPI
1104172162
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
BIENESTAR QUIROPRACTICO CSP
Practice address
617 Calle Hillside
San Juan, PR 00920-4370
Phone
(787) 731-1575
NPI assigned
Jul 27, 2012
Organization subpart
No

Authorized official

Name
Dr. Ishi R.F. Rodriguez Lora, D.C.
Title
Quiropractico
Phone
(787) 565-1058

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131122000742 PR Part B Supplier - Clinic/Group Practice 8729214754 Receives reassigned benefits from 2 practitioners
Practice locations: Guaynabo, PR

National Provider Directory

Locations

9 Ave Esmeralda
Guaynabo, PR 00969
Phone (787) 731-1575

617 Calle Hillside
San Juan, PR 00920
Phone (787) 565-1058

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

617 Calle Hillside
San Juan, PR 00920-4370

Mailing address

617 Calle Hillside
San Juan, PR 00920-4370
Phone (787) 731-1575

Other names

  • Alinea Health and Posture Doing business as

Other providers in San Juan, PR

All providers in San Juan, PR · Chiropractor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.