Organization Active NPI

Inerva, LLC

  • Chiropractor
  • Gurabo, PR
National Provider Identifier
1275284010
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INERVA, LLC
Practice address
Plaza Marina Suite #13
535 Carr. 189 KM. 6.40
Gurabo, PR 00778-4202
Phone
(787) 414-9898
Fax
(787) 561-7464
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Antonio Rodriguez Perez, D.C.NPI 1568864676
Title
Chiropractor
Phone
(787) 647-9337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

Plaza Marina Suite #13
535 Carr. 189 KM. 6.40
Gurabo, PR 00778-4202

Mailing address

352 Ave San Claudio
Suite #377
San Juan, PR 00926
Phone (787) 647-9337

Other practice location 1

1255 Ave. Tito Castro, Metro Plaza Las Monjitas
Suite M161
Ponce, PR 00730
Phone (787) 651-7816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220705001343 PR Part B Supplier - Clinic/Group Practice 2062892375 Receives reassigned benefits from 2 practitioners
Practice locations: Gurabo, PR

National Provider Directory

National Provider Directory

Locations

535 Carr 189
Ste 13
Gurabo, PR 00778
Phone (787) 414-9898

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1275284010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 AVE SAN CLAUDIO",
            "address_2": "SUITE #377",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-647-9337",
            "fax_number": "787-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA MARINA SUITE #13",
            "address_2": "535 CARR. 189 KM. 6.40",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007784202",
            "telephone_number": "787-414-9898",
            "fax_number": "787-561-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Ave. Tito Castro, Metro Plaza Las Monjitas",
            "address_2": "Suite M161",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00730",
            "country_code": "US",
            "telephone_number": "787-651-7816",
            "fax_number": "787-561-7464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INERVA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ PEREZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "787-647-9337",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.