Active NPI
Quiropractive LLC
- Chiropractor
- San Juan, PR
National Provider Identifier
1114461613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 00547
- Legal business name
- QUIROPRACTIVE LLC
- Practice address
- 1194 Calle Nicolas Aguayo
San Juan, PR 00924 - Phone
- (939) 337-0239
- NPI assigned
- Dec 19, 2016
- Last updated
- Dec 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexis Edgardo Valentin, D.C.
- Title
- Quiropractor
- Phone
- (787) 424-8541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 00547 | PR | Primary |
Addresses
Primary practice location
1194 Calle Nicolas Aguayo
San Juan, PR 00924
Mailing address
B10 Calle Magnolia
Urb El Dorado
Guayama, PR 00784
Phone (787) 864-3718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00547 | Medicaid | PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Guayama, PR
- NPI 1265893440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482105600000",
"number": "1114461613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B10 CALLE MAGNOLIA",
"address_2": "URB EL DORADO",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-864-3718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 CALLE NICOLAS AGUAYO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "939-337-0239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUIROPRACTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-19",
"last_updated": "2016-12-19",
"status": "A",
"authorized_official_last_name": "VALENTIN",
"authorized_official_first_name": "ALEXIS",
"authorized_official_middle_name": "EDGARDO",
"authorized_official_title_or_position": "QUIROPRACTOR",
"authorized_official_telephone_number": "787-424-8541",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "00547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00547",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.