Individual provider Active NPI

Jeniffer Marie Vega Gonzalez, DC

  • Chiropractor
  • Lajas, PR
National Provider Identifier
1316574304
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000732 Issued in PR
Practice address
Carr 315 Bo Sabana Yeguas
Centro Comercial Municipal de Lajas Edf 2 Local 4
Lajas, PR 00667-2411
Phone
(787) 237-5828
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000732 PR Primary

Addresses

Primary practice location

Carr 315 Bo Sabana Yeguas
Centro Comercial Municipal de Lajas Edf 2 Local 4
Lajas, PR 00667-2411

Mailing address

RR 1 Box 2101
Anasco, PR 00610-9769
Phone (787) 237-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200406000351 PR Practitioner - Chiropractic 2567891096 Practice locations: Lajas, PR; Yauco, PR
I20221207001981 GA Practitioner - Chiropractic 2567891096 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000732PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Masterpiece Chiropractic Chiropractor CurrentSince Nov 10, 2024 Accepting new patients
Perry Chiropractic of Warner Robins, LLC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients
Dr. Brian Gillis P C Chiropractor CurrentSince Nov 14, 2022 Accepting new patients

Locations

1207 Main St
Ste C
Perry, GA 31069
Phone (478) 987-9666

4027 Watson Blvd
Ste 180
Warner Robins, GA 31093
Phone (478) 333-1773

Organizations & group practices 3

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1316574304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 2101",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109769",
            "telephone_number": "787-237-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 315 BO SABANA YEGUAS",
            "address_2": "CENTRO COMERCIAL MUNICIPAL DE LAJAS EDF 2 LOCAL 4",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672411",
            "telephone_number": "787-237-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA GONZALEZ",
        "first_name": "JENIFFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.