Organization Active NPI

Diavel LLC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1407740830
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DIAVEL LLC
Practice address
1270 Ave Jesus T Pinero
San Juan, PR 00921-1616
Phone
(787) 598-0731
Fax
(787) 782-0377
NPI assigned
Jun 9, 2025
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Glenda M Velazquez Santiago, DC
Title
Owner
Phone
(787) 602-6349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1270 Ave Jesus T Pinero
San Juan, PR 00921-1616

Mailing address

1270 Ave Jesus T Pinero
San Juan, PR 00921-1616
Phone (787) 598-0731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250924004824 PR Part B Supplier - Clinic/Group Practice 8123523743 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

1270 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 598-0731

Practitioners & affiliated clinicians

Practitioners 3

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1407740830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211616",
            "telephone_number": "787-598-0731",
            "fax_number": "787-782-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211616",
            "telephone_number": "787-598-0731",
            "fax_number": "787-782-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAVEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ SANTIAGO",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-602-6349",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.