Enduro Chiropractic & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ENDURO CHIROPRACTIC & WELLNESS CENTER LLC

Practice address

1241 Ave Hostos
Ponce, PR 00717-0943

Phone

(787) 298-4516

NPI assigned

Mar 6, 2024

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivan G. Rodriguez Torres - Ricci N. Gonzalez Medina, BS, DC

Title

Autorized Person

Phone

(787) 298-4516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Ricci Naillil Gonzalez Medina, BS, DC

  • Chiropractor
  • Ponce, PR
  • NPI 1114609146
  Medicare reassignment NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1114785060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB JARDINES DEL CARIBE",
            "address_2": "00-36 CALLE 49",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-298-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 AVE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170943",
            "telephone_number": "787-298-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURO CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "RICCI N. GONZALEZ MEDINA",
        "authorized_official_first_name": "IVAN G. RODRIGUEZ",
        "authorized_official_middle_name": "TORRES -",
        "authorized_official_title_or_position": "AUTORIZED PERSON",
        "authorized_official_telephone_number": "787-298-4516",
        "authorized_official_credential": "BS, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Emmanuelli
• Juan Emmanuelli
• Emotional & Mental Consulting Services CSP
• Empresas Toro-Torres, Inc. (Expresscare Medical Transport)
• Denisse Encarnacion Colon, MD
• Ernesto R Soltero MD PSC
• Paola Lisnette Escobales
• Juan Luis Escobar
• Marco Antonio Escobedo, M.D.
• Sofia Fernanda Escobedo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.