Centro Quiropractico Holistico PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CENTRO QUIROPRACTICO HOLISTICO PSC

Doing business as

Centro Quiropractico

Practice address

24 Calle Degetau
Bayamon, PR 00961-6441

Phone

(787) 455-0707

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Santiago

Title

Administrator

Phone

(787) 405-9655

Specialties & licenses 1

Addresses

Other names 1

• CENTRO QUIROPRACTICO Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Jesus Esteban Rolon Pagan III, DC

  • Chiropractor
  • Bayamon, PR
  • NPI 1023698487
  Medicare reassignment NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1407523004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AVE CEMENTERIO NACIONAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613854",
            "telephone_number": "787-455-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CALLE DEGETAU",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616441",
            "telephone_number": "787-455-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO QUIROPRACTICO HOLISTICO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-405-9655"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO QUIROPRACTICO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.