Individual provider Active NPI

Leonardo Rene Neco-Huertas, DC

  • Chiropractor
  • Bayamon, PR
National Provider Identifier
1154905933
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000704 Issued in PR
Practice address
Calle 3 Solar 2/a
Urb. Colinas de Cerro Gordo
Bayamon, PR 00956-9421
Phone
(939) 592-8002
NPI assigned
May 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000704 PR Primary

Addresses

Primary practice location

Calle 3 Solar 2/a
Urb. Colinas de Cerro Gordo
Bayamon, PR 00956-9421

Mailing address

RR 4 Box 3013
Bayamon, PR 00956-9421
Phone (939) 592-8002

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL lavoltapr@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000704PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1154905933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 3013",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569421",
            "telephone_number": "939-592-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 3 SOLAR 2/A",
            "address_2": "URB. COLINAS DE CERRO GORDO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569421",
            "telephone_number": "939-592-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECO-HUERTAS",
        "first_name": "LEONARDO",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "000704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "lavoltapr@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company's email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Calle 3 Solar 2/A",
            "city": "Bayamon",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009569241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.