Primero Spine and Joint LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12201 Issued in FL

Legal business name

PRIMERO SPINE AND JOINT LLC

Practice address

13241 Bartram Park Blvd Unit 2501
Jacksonville, FL 32258-5218

Phone

(561) 843-7654

NPI assigned

Dec 14, 2017

Organization subpart

No

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

Authorized official

Name

Gabriel Busquets, DCNPI 1073905782

Title

Owner

Phone

(561) 843-7654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Busquets, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1073905782
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1205342177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 W WINDY WILLOW DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 2501",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585218",
            "telephone_number": "561-843-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERO SPINE AND JOINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "BUSQUETS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-843-7654",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Health Aco, LLC
• Prime Healthcare America LLC
• Prime Pharmacy, LLC
• Jordanne C Prime
• Austin Primeaux
• Alexandra Maria Prince, RD, RDN, LD, LD/N
• Arielle Prince, PT
• Joyce A Prince
• Kenneth Rodney Prince, DO
• Kevin Tyrone Prince, D.M.D.

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.