Organization Active NPI

Chiropractic Radiology Imaging LLC

  • Chiropractor
  • Coamo, PR
National Provider Identifier
1194497867
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC RADIOLOGY IMAGING LLC
Practice address
Carr.14 KM.31.5 Barrio San Ildefonso
Boulevard Piel Canela Suite#3
Coamo, PR 00769
Phone
(787) 238-6030
NPI assigned
Oct 1, 2021
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Danysha Yvette Flores Gonzalez, MPH
Title
President
Phone
(407) 223-1372

Specialties & licenses 1

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

Addresses

Primary practice location

Carr.14 KM.31.5 Barrio San Ildefonso
Boulevard Piel Canela Suite#3
Coamo, PR 00769

Mailing address

Urb. Alturas de Coamo
227 Calle Caliza
Coamo, PR 00769-4807
Phone (787) 238-6030

National Provider Directory

National Provider Directory

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": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1194497867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ALTURAS DE COAMO",
            "address_2": "227 CALLE CALIZA",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007694807",
            "telephone_number": "787-238-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.14 KM.31.5 BARRIO SAN ILDEFONSO",
            "address_2": "BOULEVARD PIEL CANELA SUITE#3",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-238-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC RADIOLOGY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "FLORES GONZALEZ",
        "authorized_official_first_name": "DANYSHA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-223-1372",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.