Organization Active NPI

Vita Chiropractic L.L.C.

  • Chiropractor
  • Bayamon, PR
National Provider Identifier
1104565704
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITA CHIROPRACTIC L.L.C.
Practice address
Urb. Hnas Davila J9 Ave. Betances
Bayamon, PR 00959-5108
Phone
(787) 529-0582
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Ninoshka Tirado Perez, DCNPI 1932848520
Title
Doctor/Vice President
Phone
(787) 529-0582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

Urb. Hnas Davila J9 Ave. Betances
Bayamon, PR 00959-5108

Mailing address

Urb. Hnas Davila J9 Ave. Betances
Bayamon, PR 00959-5108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220912003019 PR Part B Supplier - Clinic/Group Practice 6800271834 Receives reassigned benefits from 2 practitioners
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

J9 Ave Betances
Bayamon, PR 00959
Phone (787) 529-0582

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1104565704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. HNAS DAVILA J9 AVE. BETANCES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. HNAS DAVILA J9 AVE. BETANCES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595108",
            "telephone_number": "787-529-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "TIRADO PEREZ",
        "authorized_official_first_name": "NINOSHKA",
        "authorized_official_title_or_position": "DOCTOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "787-529-0582",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.