Organization Active NPI

Health Chiropractic San Juan, LLC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1174250765
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTH CHIROPRACTIC SAN JUAN, LLC
Practice address
509 Ave Andalucia
San Juan, PR 00920-4132
Phone
(787) 221-9282
Fax
(787) 961-4864
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Dr. Jorge R Jarrot Sierra Sr., DC
Title
Presidente / Chiropractor
Phone
(787) 630-7766

Specialties & licenses 1

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

Addresses

Primary practice location

509 Ave Andalucia
San Juan, PR 00920-4132

Mailing address

PO Box 1623
Canovanas, PR 00729-1623
Phone (787) 221-9282

Other names 1

  • Health Chiropractic San Juan, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220930002200 PR Part B Supplier - Clinic/Group Practice 9436535200 Receives reassigned benefits from 3 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

509 Ave Andalucia
San Juan, PR 00920
Phone (787) 221-9282

Practitioners & affiliated clinicians

Practitioners 5

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": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1174250765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1623",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291623",
            "telephone_number": "787-221-9282",
            "fax_number": "787-961-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 AVE ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204132",
            "telephone_number": "787-221-9282",
            "fax_number": "787-961-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CHIROPRACTIC SAN JUAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "JARROT SIERRA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENTE / CHIROPRACTOR",
        "authorized_official_telephone_number": "787-630-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Chiropractic San Juan, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.