Organization Active NPI

Clinica Quiropractica Dr Hector R Carrasquillo CSP

  • Chiropractor
  • Fajardo, PR
National Provider Identifier
1386706380
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
324 Issued in PR
Legal business name
CLINICA QUIROPRACTICA DR HECTOR R CARRASQUILLO CSP
Practice address
54 Calle Celis Aguilera N
Fajardo, PR 00738-4811
Phone
(787) 860-6373
Fax
(787) 863-5454
NPI assigned
Dec 15, 2006
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Marbella Herrera, MS
Title
Office Manager
Phone
(787) 860-6373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 324 PR Primary

Addresses

Primary practice location

54 Calle Celis Aguilera N
Fajardo, PR 00738-4811

Mailing address

54 Calle Celis Aguilera N
Fajardo, PR 00738-4811
Phone (787) 860-6373

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1386706380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CALLE CELIS AGUILERA N",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384811",
            "telephone_number": "787-860-6373",
            "fax_number": "787-863-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CALLE CELIS AGUILERA N",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384811",
            "telephone_number": "787-860-6373",
            "fax_number": "787-863-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA QUIROPRACTICA DR HECTOR R CARRASQUILLO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MARBELLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "787-860-6373",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.