Omar Jose Fabregas Rodriguez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0630 Issued in PR

Practice address

146 Calle del Parque
Santurce, PR 00911-1919

Phone

(787) 722-5422

NPI assigned

Mar 10, 2017

Last updated

Dec 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quiropractica Axis LLC

  • Chiropractor
  • San Juan, PR
  • NPI 1821668872
  Medicare reassignment NPD
• Carlos Selles Hernandez Centro Quriropractico del Parque

  • Chiropractor
  • San Juan, PR
  • NPI 1447468079
  NPD (past)

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1336680321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AVE LUIS MUNOZ MARIN VILLA BLANCA",
            "address_2": "PMB 309",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-662-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CALLE DEL PARQUE",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009111919",
            "telephone_number": "787-722-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABREGAS RODRIGUEZ",
        "first_name": "OMAR",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "0630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Aaron Erxleben, RPH
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• Expresscare Inc (ExpressCare Pharmacy)
• Eye Surgery Specialists of Puerto Rico, LLC
• Farmacia Americana
• Farmacia Americana Inc
• Farmacia Las Casas Inc (Farmacia Las Casas)
• Farmacia Metropolitana Inc.
• Farmacia Perales (Jose E Ortiz)

• Chiropractor in Santurce, PR
• Providers in Santurce, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.