Individual provider Active NPI

Josue Bautista Rodriguez, D.C.

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1295843837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
421 Issued in PR
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
421PRMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienestar Quiropractico CSP Chiropractor Past Accepting new patients
Centro Quiropractico del Parque CSP Chiropractor PastSince Feb 1, 2025 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.

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.

Verify at the official NPI Registry.