Organization Active NPI

Centro Quiropractico Dr Juan M Lopez DC-PSC

  • Chiropractor
  • Juncos, PR
National Provider Identifier
1346330735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
409 Issued in PR
Legal business name
CENTRO QUIROPRACTICO DR JUAN M LOPEZ DC-PSC
Practice address
Carr. PR 31 KM 24.0
Juncos Plaza Local a-02
Juncos, PR 00777
Phone
(787) 734-2841
Fax
(787) 713-0027
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Juan Manuel Lopez, DC
Title
President
Phone
(787) 734-2841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 409 PR Primary

Addresses

Primary practice location

Carr. PR 31 KM 24.0
Juncos Plaza Local a-02
Juncos, PR 00777

Mailing address

PO Box 366602
San Juan, PR 00936-6602
Phone (787) 734-2841

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080423000704 PR Part B Supplier - Clinic/Group Practice 4880772342 Receives reassigned benefits from 1 practitioner
Practice locations: Aibonito, PR; Juncos, PR

National Provider Directory

National Provider Directory

Locations

300 Juncos Plz
Ste 85
Juncos, PR 00777
Phone (787) 734-2841

Practitioners & affiliated clinicians

Practitioners 1

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346330735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366602",
            "telephone_number": "787-734-2841",
            "fax_number": "787-713-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. PR 31 KM 24.0",
            "address_2": "JUNCOS PLAZA LOCAL A-02",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-2841",
            "fax_number": "787-713-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO QUIROPRACTICO DR JUAN M LOPEZ DC-PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-734-2841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.