Organization Active NPI

Viva Salud Chiropractic Clinic LLC

  • Chiropractor
  • Moca, PR
National Provider Identifier
1336718725
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIVA SALUD CHIROPRACTIC CLINIC LLC
Practice address
69 Calle Pedro Santos Ste 4
Moca, PR 00676-4014
Phone
(787) 877-9846
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. Jessica Rodriguez, DCNPI 1679049613
Title
Chiropractor
Phone
(787) 877-1987

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

69 Calle Pedro Santos Ste 4
Moca, PR 00676-4014

Mailing address

HC 2 Box 121011
Moca, PR 00676-8356
Phone (787) 877-9846

Other names 1

  • Viva Salud Chiropractic Clinic LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220524000269 PR Part B Supplier - Clinic/Group Practice 9436536836 Receives reassigned benefits from 1 practitioner
Practice locations: Moca, PR

National Provider Directory

National Provider Directory

Locations

69 Calle Pedro Santos
Ste 4
Moca, PR 00676
Phone (787) 518-9161

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1336718725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 121011",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006768356",
            "telephone_number": "787-877-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CALLE PEDRO SANTOS STE 4",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764014",
            "telephone_number": "787-877-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA SALUD CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "787-877-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viva Salud Chiropractic Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Viva Salud Chiropractic Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.