Vivo Clinic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VIVO CLINIC CORP

Practice address

D-2 Ave San Demetrio
Vega Baja, PR 00693-5136

Phone

(787) 960-3160

NPI assigned

Sep 23, 2024

Last updated

Mar 18, 2026By 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

Jorge M Roque, DCNPI 1477331296

Title

President

Phone

(787) 960-3160

Specialties & licenses 3

Addresses

Other names 1

• VIVO CLINIC CORP Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 3

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.

• Jorge Manuel Roque, DC

  • Chiropractor
  • Vega Baja, PR
  • NPI 1477331296
  Medicare reassignment NPD Authorized official
• Fabiola Marie Gonzalez, OTR/L

  • Occupational Therapist
  • Ponce, PR
  • NPI 1609597442
  Medicare reassignment NPD
• Francheska Ivette Diaz Trinidad, MS, SLP

  • Speech-Language Pathologist
  • Vega Baja, PR
  • NPI 1093669392
  Medicare reassignment

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1255158168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2232",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006942232",
            "telephone_number": "787-960-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D-2 AVE SAN DEMETRIO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935136",
            "telephone_number": "787-960-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-960-3160",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVO CLINIC CORP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.