Individual provider Active NPI

Gonzalo A Cardona Cruz

  • Chiropractor
  • Vega Baja, PR
National Provider Identifier
1376325951
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
966 Issued in PR
Practice address
Carr #2 KM43.1
Bo. Algarrobo
Vega Baja, PR 00693
Phone
(787) 965-7200
NPI assigned
Oct 18, 2023
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 966 PR Primary
Chiropractor 111N00000X CH-14740 FL

Addresses

Primary practice location

Carr #2 KM43.1
Bo. Algarrobo
Vega Baja, PR 00693

Mailing address

200 Carr 149 Apt 205
Manati, PR 00674-9528
Phone (787) 363-7478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH-14740FLMDChiropractor
966PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Quiropractico del Parque CSP Chiropractor CurrentSince Jul 9, 2025 Accepting new patients
Carlos Selles Hernandez Centro Quriropractico del Parque Chiropractor PastSince Jul 9, 2025 Accepting new patients

Locations

146 Calle del Parque
Santurce, PR 00911
Phone (787) 722-5422

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1376325951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARR 149 APT 205",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749528",
            "telephone_number": "787-363-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM43.1",
            "address_2": "BO. ALGARROBO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-965-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA CRUZ",
        "first_name": "GONZALO",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "966",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-14740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.