San Juan Wellness Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SAN JUAN WELLNESS CLINIC LLC

Practice address

Urb. Reparto America
521 Calle Barranquitas
San Juan, PR 00923

Phone

(787) 528-0713

NPI assigned

Apr 3, 2025

Organization subpart

No

Name

Marcos Lopez, DC

Title

President/Owner

Phone

(787) 616-7630

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

• Marcos Omar Lopez Fontanez, DC

  • Chiropractor
  • San Juan, PR
  • NPI 1346072360
  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2025.

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1235933664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CALLE NAPOLES COND CONCORDIA GARDENS 2",
            "address_2": "APT.16E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-616-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. REPARTO AMERICA",
            "address_2": "521 CALLE BARRANQUITAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-528-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "787-616-7630",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• San Lucas Metro, Inc
• San Lucas Metro, Inc.
• Andrea Carolina San Miguel Perez
• Liza E. San Miguel-Montes, PSY. D
• Angel San Miguel

• All providers in San Juan, PR
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.