Organization Active NPI

Quiropractive LLC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1114461613
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00547 Issued in PR
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00547MedicaidPR

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.