San Jorge Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

421 Issued in PR

Legal business name

SAN JORGE CHIROPRACTIC PSC

Doing business as

san jorge chiropractic place

Practice address

403 Calle San Jorge
San Juan, PR 00912-3313

Phone

(787) 946-0011

NPI assigned

Jan 14, 2014

Last updated

Oct 7, 2014By 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

Dr. Josue Bautista Rodriguez, D.C.NPI 1295843837

Title

Owner/ Doctor

Phone

(787) 671-9555

Specialties & licenses 1

Addresses

Other names 1

• san jorge chiropractic place 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.

• Josue Bautista Rodriguez, D.C.

  • Chiropractor
  • San Juan, PR
  • NPI 1295843837
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1437571270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123313",
            "telephone_number": "787-946-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123313",
            "telephone_number": "787-946-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JORGE CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_middle_name": "BAUTISTA",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "787-671-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san jorge chiropractic place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Jorge Children and Family Hospital Inc (Farmacia San Jorge Children and Family)
• San Jorge Children and Family Hospital Inc
• San Jorge Children's Hospital, Inc.
• San Jorge Children's Medical Specialties,PSC
• San Jorge Childrens Medical Speialties
• San Jorge Chiropractic Services
• San Jorge General Pediatric Medical Group
• San Jorge Pediatric Mental Health Unit
• San Jorge Pediatric Orthopaedic Institute
• San Juan Aging (Social Medical Complex)

• Chiropractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.