Organization Active NPI

Clinica de Salud Y Prevencion de Mayaguez LLC

  • Chiropractor
  • Mayaguez, PR
National Provider Identifier
1124370515
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLINICA DE SALUD Y PREVENCION DE MAYAGUEZ LLC
Practice address
#63 Oeste Calle Mendez Vigo
Torre de Hostos of. 1 D
Mayaguez, PR 00680
Phone
(787) 805-0707
Fax
(787) 652-4795
NPI assigned
Oct 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Dr. Ismael Segarra
Title
President
Phone
(787) 805-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

#63 Oeste Calle Mendez Vigo
Torre de Hostos of. 1 D
Mayaguez, PR 00680

Mailing address

PO Box 3286
Mayaguez, PR 00681-3286
Phone (787) 805-0707

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL clinicadesaludyprevencion@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130405000131 PR Part B Supplier - Clinic/Group Practice 0547405946 Receives reassigned benefits from 2 practitioners
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

Locations

63 Calle Mendez Vigo W
Ste 1D
Mayaguez, PR 00680
Phone (787) 328-3556

Practitioners & affiliated clinicians

Practitioners 3

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1124370515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3286",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813286",
            "telephone_number": "787-805-0707",
            "fax_number": "787-805-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#63 OESTE CALLE MENDEZ VIGO",
            "address_2": "TORRE DE HOSTOS OF. 1 D",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-805-0707",
            "fax_number": "787-652-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SALUD Y PREVENCION DE MAYAGUEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "SEGARRA",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-805-0707",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "clinicadesaludyprevencion@gmail.com",
            "affiliation": "N",
            "address_1": "#63 OESTE CALLE MENDEZ VIGO",
            "address_2": "TORRE DE HOSTOS OF. 1 D",
            "city": "MAYAGUEZ",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.