Active NPI
Gilbert Seth Weiner, D.C.
- Chiropractor
- Santurce, PR
National Provider Identifier
1265437040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3146
- Practice address
- 653 Calle Hipodromo
Suite #101
Santurce, PR 00907-3467 - Phone
- (787) 783-3253
- NPI assigned
- Jun 17, 2005
- Last updated
- Oct 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 242 | PR | |
| Chiropractor | 111N00000X | 3146 | MA | Primary |
Addresses
Primary practice location
653 Calle Hipodromo
Suite #101
Santurce, PR 00907-3467
Mailing address
456B Centre St
Jamaica Plain, MA 02130-1884
Phone (787) 783-3253
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074008 | Other | PR | LA CRUZ AZUL |
| 9680006 | Other | PR | HUMANA |
| 602319 | Other | PR | MEDICARE MUCHO MAS |
| 6605397810011 | Other | PR | CIGNA |
| 5-1228 | Other | PR | TRIPLE-S |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081209000845 | MA | Practitioner - Chiropractic | 3173550597 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Pain Free PT Inc | Current | Accepting new patients | |
| Holistic Health | Past | Accepting new patients |
Locations
1520 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 298-4603
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Santurce, PR
- NPI 1780891853
-
- Physical Medicine & Rehabilitation Physician
- Mattapan, MA
- NPI 1932547783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1265437040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456B CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301884",
"telephone_number": "787-783-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 CALLE HIPODROMO",
"address_2": "SUITE #101",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009073467",
"telephone_number": "787-783-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "GILBERT",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "242",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL",
"identifier": "074008",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9680006",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MUCHO MAS",
"identifier": "602319",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6605397810011",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "5-1228",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.