Active NPI
Quiropractica del Encanto, CSP
- Chiropractor
- San Juan, PR
National Provider Identifier
1306199062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 507
- Legal business name
- QUIROPRACTICA DEL ENCANTO, CSP
- Practice address
- 1751 Ave Paz Granela
Urb Santiago Iglesias
San Juan, PR 00921-3630 - Phone
- (787) 200-9144
- Fax
- (789) 200-9108
- NPI assigned
- Oct 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin Javier Velez-Correa, DC
- Title
- Doctor
- Phone
- (789) 500-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 507 | PR | Primary |
Addresses
Primary practice location
1751 Ave Paz Granela
Urb Santiago Iglesias
San Juan, PR 00921-3630
Mailing address
1751 Ave Paz Granela
Urb Santiago Iglesias
San Juan, PR 00921-3630
Phone (787) 200-9144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037606900 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130211000242 | PR | Part B Supplier - Clinic/Group Practice | 0042464554 |
Receives reassigned benefits from 2 practitioners Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
1751 Ave Paz Granela
San Juan, PR 00921
Phone (787) 200-9144
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- San Juan, PR
- NPI 1295523884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1306199062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 AVE PAZ GRANELA",
"address_2": "URB SANTIAGO IGLESIAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213630",
"telephone_number": "787-200-9144",
"fax_number": "789-200-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 AVE PAZ GRANELA",
"address_2": "URB SANTIAGO IGLESIAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213630",
"telephone_number": "787-200-9144",
"fax_number": "789-200-9108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUIROPRACTICA DEL ENCANTO, CSP",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-18",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "VELEZ-CORREA",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "JAVIER",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "789-500-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PR",
"license": "507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037606900",
"state": "PR"
}
],
"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 Feb 11, 2022; 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.