Organization Active NPI

Life Essentials Chiropractic Center

  • Chiropractor
  • Caguas, PR
National Provider Identifier
1336868322
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFE ESSENTIALS CHIROPRACTIC CENTER
Practice address
Calle Cordova #8, Terralinda
Caguas, PR 00727-2517
Phone
(787) 746-5433
Fax
(787) 746-5433
NPI assigned
Aug 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Dr. Eddy Luis Diaz Valero Sr., DCNPI 1265560718
Title
Ceo
Phone
(787) 633-1190

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

Calle Cordova #8, Terralinda
Caguas, PR 00727-2517

Mailing address

8 Calle Cordova
Caguas, PR 00727-2517
Phone (787) 746-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260615004070 PR Part B Supplier - Clinic/Group Practice 2062984677 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

8 Calle Cordova
Caguas, PR 00727
Phone (787) 286-1700

Practitioners & affiliated clinicians

Practitioners 6

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": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1336868322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE CORDOVA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272517",
            "telephone_number": "787-746-5433",
            "fax_number": "787-746-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CORDOVA #8, TERRALINDA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272517",
            "telephone_number": "787-746-5433",
            "fax_number": "787-746-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ESSENTIALS CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "DIAZ VALERO",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-633-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.