Paulina Barquero Sotomayor, DC
Individual provider Active NPI Chiropractor · Guaynabo, PR
NPI 1104338961 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1104338961
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 000632 (PR)
- Practice address
- 11 Calle Carazo
Guaynabo, PR 00969-5644 - Phone
- (787) 998-5990
- Fax
- (787) 998-5993
- NPI assigned
- Nov 1, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180829001665 | PR | Practitioner - Chiropractic | 5597015339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000632 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 45 Grados LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 000632 | PR | Yes |
Addresses
Primary practice location
11 Calle Carazo
Guaynabo, PR 00969-5644
Mailing address
902 Ave Ponce de Leon Apt 205
San Juan, PR 00907-3348
Phone (787) 430-5357
Other practice location 1
1011 Ave Americo Miranda
San Juan, PR 00921-2804
Phone (787) 751-1121
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.