Individual provider Active NPI

Juan Manuel Lopez-Garcia, D.C.

  • Chiropractor
  • Juncos, PR
National Provider Identifier
1396790481
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
409 Issued in PR
Practice address
Juncos Plaza Local 2a
Carr PR-31 KM 24
Juncos, PR 00777
Phone
(787) 734-2841
Fax
(787) 713-0027
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 409 PR Primary

Addresses

Primary practice location

Juncos Plaza Local 2a
Carr PR-31 KM 24
Juncos, PR 00777

Mailing address

P.O. Box 366602
San Juan, PR 00936-6602
Phone (787) 734-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060602000030 PR Practitioner - Chiropractic 8426069600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Juncos PLZ
Suite 85
Juncos, PR 00777-4221
Phone (787) 734-2841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Quiropractico Dr Juan M Lopez DC-PSC Chiropractor CurrentSince Jan 5, 2006 Accepting new patients

Locations

300 Juncos Plz
Ste 85
Juncos, PR 00777
Phone (787) 734-2841

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1396790481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 366602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366602",
            "telephone_number": "787-734-2841",
            "fax_number": "787-713-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUNCOS PLAZA LOCAL 2A",
            "address_2": "CARR PR-31 KM 24",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-2841",
            "fax_number": "787-713-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-GARCIA",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.