Integra Quiropractica LLC

Organization Active NPI Chiropractor · Carolina, PR

NPI 1356039028 · NPPES record last updated Jun 7, 2023

Key facts

NPI
1356039028
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
INTEGRA QUIROPRACTICA LLC
Practice address
146 Calle 2B
Carolina, PR 00985-5906
Phone
(939) 355-0155
NPI assigned
May 1, 2023
Organization subpart
No

Authorized official

Name
Janairis Colon Ramos, DC NPI 1851062673
Title
President
Phone
(939) 355-0155

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

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230606003513 PR Part B Supplier - Clinic/Group Practice 5294192274 Receives reassigned benefits from 1 practitioner
Practice locations: Carolina, PR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

146 Calle 2B
Carolina, PR 00985-5906

Mailing address

PO Box 30811
San Juan, PR 00929-1811

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2023.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1356039028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30811",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009291811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CALLE 2B",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855906",
            "telephone_number": "939-355-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA QUIROPRACTICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "COLON RAMOS",
        "authorized_official_first_name": "JANAIRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-355-0155",
        "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": []
}

Other providers in Carolina, PR

All providers in Carolina, PR · Chiropractor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.