Organization Active NPI

Centro Quiropractico Familiar Humacao PSC

  • Health Service Clinic/Center
  • Humacao, PR
National Provider Identifier
1447798582
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
446 Issued in PR
Legal business name
CENTRO QUIROPRACTICO FAMILIAR HUMACAO PSC
Practice address
Calle Dufresne a-1, Urb. San Antonio
Humacao, PR 00791-3931
Phone
(787) 285-4528
Fax
(787) 285-4528
NPI assigned
Feb 9, 2017
Last updated
Feb 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Fabio A. Arevalo, D.C.NPI 1952565426
Title
Manager/Doctor
Phone
(787) 285-4528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 446 PR Primary

Addresses

Primary practice location

Calle Dufresne a-1, Urb. San Antonio
Humacao, PR 00791-3931

Mailing address

PO Box 362454
San Juan, PR 00936-2454
Phone (787) 285-4528

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1447798582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362454",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362454",
            "telephone_number": "787-285-4528",
            "fax_number": "787-285-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DUFRESNE A-1, URB. SAN ANTONIO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913931",
            "telephone_number": "787-285-4528",
            "fax_number": "787-285-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO QUIROPRACTICO FAMILIAR HUMACAO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "FABIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER/DOCTOR",
        "authorized_official_telephone_number": "787-285-4528",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.