Organization Active NPI

Vida Integral Centro Quiropractico

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1174999569
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIDA INTEGRAL CENTRO QUIROPRACTICO
Practice address
252 Calle San Jose
Ste 2a
San Juan, PR 00901
Phone
(787) 721-8432
NPI assigned
Aug 19, 2015
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Dr. Ramon V Miranda Colon, D.C.NPI 1659749851
Title
President/Treasurer
Phone
(787) 210-9705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

252 Calle San Jose
Ste 2a
San Juan, PR 00901

Mailing address

PO Box 11655
San Juan, PR 00922
Phone (787) 210-9705

National Provider Directory

National Provider Directory

Locations

252 Calle de San Jose
Ste 2A
Viejo San Juan, PR 00901
Phone (787) 721-8432

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1174999569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11655",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00922",
            "telephone_number": "787-210-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JOSE",
            "address_2": "STE 2A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-721-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA INTEGRAL CENTRO QUIROPRACTICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "MIRANDA COLON",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "787-210-9705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2020; 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.