Organization Active NPI

Rivera & Santiago S.C

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1114985827
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
042-618785 Issued in IL
Legal business name
RIVERA & SANTIAGO S.C
Doing business as
Nuestra Clinica De Aurora
Practice address
645 E New York St
Aurora, IL 60505-3546
Phone
(630) 375-1604
Fax
(630) 375-1608
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Gabriel Rivera, D.C.NPI 1275581936
Title
Vice-President
Phone
(630) 802-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 042-618785 IL Primary

Addresses

Primary practice location

645 E New York St
Aurora, IL 60505-3546

Mailing address

645 E New York St
Aurora, IL 60505-3546
Phone (630) 375-1604

Other names 1

  • Nuestra Clinica De Aurora Doing business as

National Provider Directory

National Provider Directory

Locations

645 E New York St
Aurora, IL 60505
Phone (630) 375-1604

4341 S Archer Ave
Chicago, IL 60632
Phone (773) 579-0520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1114985827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053546",
            "telephone_number": "630-375-1604",
            "fax_number": "630-375-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053546",
            "telephone_number": "630-375-1604",
            "fax_number": "630-375-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA & SANTIAGO S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "630-802-0124",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042-618785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuestra Clinica De Aurora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.