Individual provider Active NPI

Jonathan Pomales Diaz, D.C.

  • Chiropractor
  • Ponce, PR
National Provider Identifier
1457309338
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
364 Issued in PR
Practice address
37 Calle Mayor
Edificio Isabel II Suite 107
Ponce, PR 00730-3730
Phone
(787) 557-6378
Fax
(787) 848-0318
NPI assigned
May 4, 2006
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 364 PR Primary

Addresses

Primary practice location

37 Calle Mayor
Edificio Isabel II Suite 107
Ponce, PR 00730-3730

Mailing address

PO Box 815
Urbanizacion Paraiso de Coamo
Coamo, PR 00769-0815
Phone (787) 557-6378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
364PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1457309338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "address_2": "URBANIZACION PARAISO DE COAMO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690815",
            "telephone_number": "787-557-6378",
            "fax_number": "787-848-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CALLE MAYOR",
            "address_2": "EDIFICIO ISABEL II SUITE 107",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303730",
            "telephone_number": "787-557-6378",
            "fax_number": "787-848-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMALES DIAZ",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "364",
            "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 Aug 2, 2013; 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.