Active NPI
Josue Bautista Rodriguez, D.C.
- Chiropractor
- San Juan, PR
National Provider Identifier
1295843837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 421
- Practice address
- 146 Calle del Parque
San Juan, PR 00911-1919 - Phone
- (787) 722-5422
- Fax
- (787) 721-5869
- NPI assigned
- Aug 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 421 | PR | Primary |
Addresses
Primary practice location
146 Calle del Parque
San Juan, PR 00911-1919
Mailing address
1663 Ave Ponce de Leon
Apt# 705
San Juan, PR 00909-1851
Phone (787) 671-9555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070515000211 | PR | Practitioner - Chiropractic | 2769589407 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
403 Calle San Jorge
San Juan, PR 00912-3313
Phone (787) 946-0011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421 | PR | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienestar Quiropractico CSP | Chiropractor | Past | Accepting new patients |
| Centro Quiropractico del Parque CSP | Chiropractor | Past | Accepting new patients |
| Carlos Selles Hernandez Centro Quriropractico del Parque | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- San Juan, PR
- NPI 1104172162
-
- Chiropractor
- San Juan, PR
- NPI 1447468079
-
- Chiropractor
- San Juan, PR
- NPI 1023343902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295843837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 AVE PONCE DE LEON",
"address_2": "APT# 705",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009091851",
"telephone_number": "787-671-9555",
"fax_number": "787-721-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 CALLE DEL PARQUE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009111919",
"telephone_number": "787-722-5422",
"fax_number": "787-721-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JOSUE",
"middle_name": "BAUTISTA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.