Individual provider Active NPI

Jose Ignacio Calbeto

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1295903854
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
432 Issued in PR
Practice address
Edif Cooperativa Morovena
54 Calle Resolucion Suite 402 Ave Roosvelt
San Juan, PR 00920
Phone
(787) 706-1763
NPI assigned
Feb 18, 2008
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 432 PR Primary

Addresses

Primary practice location

Edif Cooperativa Morovena
54 Calle Resolucion Suite 402 Ave Roosvelt
San Juan, PR 00920

Mailing address

Estancias de Torrimar
47 Calle Calistemon
Guaynabo, PR 00966
Phone (787) 706-1763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000263 PR Practitioner - Chiropractic 7810066248 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edif Cooperativa Morovea
Calle Resolucion 54 Suite 402 Ave Rooseve
San Juan, PR 00920-2729
Phone (939) 644-3642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
432PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1295903854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DE TORRIMAR",
            "address_2": "47 CALLE CALISTEMON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-706-1763",
            "fax_number": "787-705-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF COOPERATIVA MOROVENA",
            "address_2": "54 CALLE RESOLUCION SUITE 402 AVE ROOSVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-706-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALBETO",
        "first_name": "JOSE",
        "middle_name": "IGNACIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "432",
            "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 17, 2019; 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.