Individual provider Active NPI

Jorge O Colon Balaguer

  • Chiropractor
  • Guaynabo, PR
National Provider Identifier
1134878010
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
814 Issued in PR
Practice address
131 Calle 2
Guaynabo, PR 00965-5803
Phone
(787) 946-4664
NPI assigned
Mar 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 814 PR Primary

Addresses

Primary practice location

131 Calle 2
Guaynabo, PR 00965-5803

Mailing address

HC 1 Box 3387
Las Marias, PR 00670-9452
Phone (787) 604-4343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214002960 PR Practitioner - Chiropractic 4082083001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
814PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Upgrade Spine LLC Chiropractor CurrentSince Feb 20, 2025 Accepting new patients

Locations

1519 Ave Ponce de Leon
Ste 607
San Juan, PR 00909
Phone (787) 702-5200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1134878010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3387",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006709452",
            "telephone_number": "787-604-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CALLE 2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009655803",
            "telephone_number": "787-946-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON BALAGUER",
        "first_name": "JORGE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.