Chiropractic West Inc.
Organization Active NPI Health Service Clinic/Center · Aguada, PR
NPI 1376961540 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1376961540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 524 (PR)
- Legal business name
- CHIROPRACTIC WEST INC.
- Practice address
- Carr. 115 KM 20.0 Barrio Guayabo
Aguada, PR 00602 - Phone
- (787) 589-7199
- Fax
- (787) 589-7192
- NPI assigned
- Apr 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Gabriel Luis Cruz Martinez, D.C.
- Title
- Chiropractor/Owner
- Phone
- (787) 589-7199
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141030002019 | PR | Part B Supplier - Clinic/Group Practice | 5395966691 |
Receives reassigned benefits from 2 practitioners Practice locations: Aguada, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 524 | PR | Yes |
Addresses
Primary practice location
Carr. 115 KM 20.0 Barrio Guayabo
Aguada, PR 00602
Mailing address
PO Box 229
Aguada, PR 00602-0229
Other providers in Aguada, PR
- Kevin Chaparro
- Nathalia Chaparro
- Norivel Chaparro
- Rosa H Chaparro
- Leslie Ivette Chico
- City Medical Transport LLC
- Clinica de Medicina Fisica Y Electrodiagnostico Inc.
- Clinica Vision LLC
- Jairo David Colon
- Melany Ivette Colon
All providers in Aguada, PR · Health Service Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.