Active NPI
Evanol Herrera Cruz, DC
- Chiropractor
- Ponce, PR
National Provider Identifier
1417651290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 903
- Practice address
- 150 Calle Monterrey
Parque Monterrey 2 Apt 421
Ponce, PR 00716 - Phone
- (939) 264-9392
- NPI assigned
- Mar 28, 2023
- Last updated
- Mar 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 903 | PR | Primary |
Addresses
Primary practice location
150 Calle Monterrey
Parque Monterrey 2 Apt 421
Ponce, PR 00716
Mailing address
150 Calle Monterrey
Parque Monterrey 2 Apt 421
Ponce, PR 00716
Phone (939) 264-9392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
315 Calle Tetuan
Apt 301
San Juan, PR 00901
606 Calle la Higuera
Coto Laurel, PR 00780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica de Salud Y Prevencion de Mayaguez LLC | Chiropractor | Current | Accepting new patients |
| Ehc Chiropractic, L.L.C. | Chiropractor | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Ponce, PR
- NPI 1467302000
-
- Chiropractor
- Mayaguez, PR
- NPI 1124370515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1417651290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CALLE MONTERREY",
"address_2": "PARQUE MONTERREY 2 APT 421",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "939-264-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CALLE MONTERREY",
"address_2": "PARQUE MONTERREY 2 APT 421",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "939-264-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA CRUZ",
"first_name": "EVANOL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-28",
"last_updated": "2023-03-28",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.