Southern Chiropractic Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHERN CHIROPRACTIC INCORPORATED

Practice address

Torre Medica San Cristobal
Oficina 407C
Coto Laurel, PR 00780

Phone

(787) 973-5151

NPI assigned

Oct 2, 2023

Last updated

Dec 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Antonio Maiz-Dedos, DC

Title

President/Director

Phone

(787) 973-5151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Jose Antonio Maiz, DC

  • Chiropractor
  • Ponce, PR
  • NPI 1528647443
  Medicare reassignment NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702684800000",
    "number": "1184404774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560207",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560207",
            "telephone_number": "787-973-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SAN CRISTOBAL",
            "address_2": "OFICINA 407C",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-973-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "MAIZ-DEDOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "787-973-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Soler Santiago, M.D
• Deborah Marie Soler, PHARMD
• Cristian Soto Rivera
• Lisa Michelle Sotomayor-Vega, MD
• South Caribbean Financial Services (CredeMtia)
• Southern Hospital Services (Centro San Cristobal Coto Laurel)
• Southern Medical Imaging, PSC
• Richelys Tejero, PSYD
• Juan Carlos Torres Velazquez, MD
• Jose L Torres-Silva, MD

• Chiropractor in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.