Revive Quiropractica, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

632 Issued in PR

Legal business name

REVIVE QUIROPRACTICA, LLC

Practice address

11 Calle Carazo
Guaynabo, PR 00969-5636

Phone

(787) 430-5357

NPI assigned

Jul 1, 2018

Last updated

Jul 1, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

PAULINA BARQUERO SOTOMAYORAs reported in NPPES

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

Authorized official

Name

Paulina Barquero Sotomayor, D.C.NPI 1104338961

Title

Chiropractor/Owner

Phone

(787) 751-1121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• REVIVE QUIROPRACTICA, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Part of

Revive Quiropractica LLC

Practitioners 2

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.

• Paulina Barquero Sotomayor, DC

  • Chiropractor
  • Guaynabo, PR
  • NPI 1104338961
  Medicare reassignment Authorized official
• Eldy Franceschi-Santiago, D.C.

  • Chiropractor
  • Guaynabo, PR
  • NPI 1558723593
  Medicare reassignment NPD

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530403200000",
    "number": "1114413259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 AVE PONCE DE LEON APT 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073348",
            "telephone_number": "787-430-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695636",
            "telephone_number": "787-430-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE QUIROPRACTICA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAULINA BARQUERO SOTOMAYOR",
        "enumeration_date": "2018-07-01",
        "last_updated": "2018-07-01",
        "status": "A",
        "authorized_official_last_name": "BARQUERO SOTOMAYOR",
        "authorized_official_first_name": "PAULINA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "787-751-1121",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVIVE QUIROPRACTICA, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Retina Associates CSP
• Retina Specialists of Puerto Rico, PSC
• Robert Reveron Feliciano, 1334P
• Mark Reveron Mayol
• Revive Holistic Psychology & Wellness Center
• Luis M Reyes Baez
• Ramon Reyes Cordero, 0588P
• Lizaida Reyes Cortes, 1885P
• Benjamin Reyes Diaz, M.PSY
• Jose M Reyes Nieves, 1557B

• Chiropractor in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; 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.