Active NPI
Andrea Fuster, DC
- Chiropractor
- San Juan, PR
National Provider Identifier
1194221549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 646
- Practice address
- 380 Calle Juan Calaf
Montemar Plaza
San Juan, PR 00918 - Phone
- (787) 509-6575
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- 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 | 646 | PR | Primary |
Addresses
Primary practice location
380 Calle Juan Calaf
Montemar Plaza
San Juan, PR 00918
Mailing address
702 Calle Un
Apt G1
San Juan, PR 00907-4202
Phone (787) 238-7663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210702001785 | PR | Practitioner - Chiropractic | 7517368186 | Practice locations: Arecibo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 646 | PR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanama Healthcare LLC | Chiropractor | Current | Accepting new patients |
| Better Health Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
102 Calle Francisco Jaurregui
Arecibo, PR 00612
Phone (787) 816-5041
Organizations & group practices 2
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 1336676600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613174400000",
"number": "1194221549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 CALLE UN",
"address_2": "APT G1",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009074202",
"telephone_number": "787-238-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 CALLE JUAN CALAF",
"address_2": "MONTEMAR PLAZA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-509-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSTER",
"first_name": "ANDREA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Fundacion de Investigacion de Diego (Fundacion de Investigacion)
- Fundacion Oncology Network LLC
- Fundacion Pediatrica de Diabetes
- Mercedes Fuste, DMD
- Frances Zadette Fuster Astor, MD
- Iris Fuster, LICENSEDPSYCHOLOGIST
- Jaime L. Fuster, M.D.
- Michelle M Fuster, MS, CCC-SLP
- G & G Medical Equipment, Inc.
- G C T Surgery ,PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.