Organization Active NPI

Jr Chiropractic Management Group, CSP

Doing business as Centro Quiropractico de Yauco

  • Chiropractor
  • Yauco, PR
National Provider Identifier
1326854712
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JR CHIROPRACTIC MANAGEMENT GROUP, CSP
Doing business as
Centro Quiropractico de Yauco
Practice address
Centro Profesional del Sur Carr 121 KM. 13
Sector Cuatro Calles Susua Baja
Yauco, PR 00698
Phone
(787) 992-1019
NPI assigned
Dec 10, 2024
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Jose Angel Cruz Troche, DCNPI 1821602707
Title
President
Phone
(787) 647-3511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

Centro Profesional del Sur Carr 121 KM. 13
Sector Cuatro Calles Susua Baja
Yauco, PR 00698

Mailing address

PO Box 1368
Cabo Rojo, PR 00623-1368
Phone (787) 647-3511

Other names 1

  • CENTRO QUIROPRACTICO DE YAUCO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250623003451 PR Part B Supplier - Clinic/Group Practice 9739691049 Receives reassigned benefits from 1 practitioner
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1326854712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231368",
            "telephone_number": "787-647-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PROFESIONAL DEL SUR CARR 121 KM. 13",
            "address_2": "SECTOR CUATRO CALLES SUSUA BAJA",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-992-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR CHIROPRACTIC MANAGEMENT GROUP, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ TROCHE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-647-3511",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO QUIROPRACTICO DE YAUCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.