Active NPI
Jesus Rafael Labrador Cacho, DC
- Chiropractor
- Canovanas, PR
National Provider Identifier
1104646413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1012
- Practice address
- Dos Cuerdas, Carr #3 KM 19.9 Barrio
Canovanas, PR 00729 - Phone
- (787) 221-8828
- NPI assigned
- Oct 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1012 | PR | Primary |
Addresses
Primary practice location
Dos Cuerdas, Carr #3 KM 19.9 Barrio
Canovanas, PR 00729
Mailing address
79 Cond Lomas de Rio Grande
Rio Grande, PR 00745-8702
Phone (787) 552-0109
Other names 1
- Dr. Jesus R Labrador Cacho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1104646413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 COND LOMAS DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007458702",
"telephone_number": "787-552-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DOS CUERDAS, CARR #3 KM 19.9 BARRIO",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-221-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABRADOR CACHO",
"first_name": "JESUS",
"middle_name": "RAFAEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "1012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESUS",
"last_name": "LABRADOR CACHO",
"middle_name": "R",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.