Johansen Cruz, DC
Individual provider Active NPI Chiropractor · Juncos, PR
NPI 1134877202 · NPPES record last updated Jul 15, 2022
Key facts
- NPI
- 1134877202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 816 (PR)
- Practice address
- Calle Luis Munoz Rivera 23
Urbanizacion Mendez Hormazabal
Juncos, PR 00777 - Phone
- (787) 989-4222
- NPI assigned
- Mar 16, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Urb Mendez Hormazabal
23 Calle Luis Munoz Rivera
Juncos, PR 00777
Phone (787) 989-4222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220922001445 | PR | Practitioner - Chiropractic | 3072998327 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 816 | PR | MD | Chiropractor |
| 616 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joho Estudio Quiropractico LLC | Chiropractor | Current |
Accepting new patients |
Locations
23 Calle Munoz Rivera
Juncos, PR 00777
Phone (787) 989-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 816 | PR | Yes |
Addresses
Primary practice location
Calle Luis Munoz Rivera 23
Urbanizacion Mendez Hormazabal
Juncos, PR 00777
Mailing address
500 Grand Boulevard Los Prados
Apartado 25101
Caguas, PR 00727
Phone (787) 989-4222
Other providers in Juncos, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.