Individual provider Active NPI

Keishla Marie Garcia Reyes, DC

  • Chiropractor
  • Arecibo, PR
National Provider Identifier
1316596125
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
695 Issued in PR
Practice address
1338 Santana Ste 2
Arecibo, PR 00612-6634
Phone
(787) 817-6203
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 695 PR Primary

Addresses

Primary practice location

1338 Santana Ste 2
Arecibo, PR 00612-6634

Mailing address

HC 52 Box 2113a
Garrochales, PR 00652-9116
Phone (787) 460-6943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108003720 PR Practitioner - Chiropractic 1951758101 Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
695PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Chiropractic Center PSC Chiropractor PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1316596125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 52 BOX 2113A",
            "city": "GARROCHALES",
            "state": "PR",
            "postal_code": "006529116",
            "telephone_number": "787-460-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 SANTANA STE 2",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126634",
            "telephone_number": "787-817-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA REYES",
        "first_name": "KEISHLA",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.