Spinal Hygiene LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

616 Issued in PR

Legal business name

SPINAL HYGIENE LLC

Practice address

L8 Calle 16
Carolina, PR 00987-7447

Phone

(617) 756-8250

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Caroline De Jesus, D.C.

Title

President

Phone

(617) 756-8250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1386195790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L8 CALLE 16",
            "address_2": "URB METROPOLIS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L8 CALLE 16",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877447",
            "telephone_number": "617-756-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL HYGIENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-756-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.