Active NPI
Jorge O Colon Balaguer
- Chiropractor
- Guaynabo, PR
National Provider Identifier
1134878010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 814
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814 | PR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upgrade Spine LLC | Chiropractor | Current | 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.
-
- Chiropractor
- San Juan, PR
- NPI 1336945765
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
- Francisco Colmenares Perez, 928B
- Jorge Enrique Colom Diez, DMD, MPH
- Colon and Rectal Surgical Group of Puerto Rico PSC
- Marcos Colon Arroyo, 666B
- Jose R Colon Aviles, MD
- Jesus A Colon Cardona
- Carlos Colon Colon, 492P
- Luis Miguel Colon Cruz, RPH
- Horacio Rafael Colon Esteva, M.D.
- Gardine Michelle Colon Guerra, MD
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.