Active NPI
Marines Reyna, D.C.
- Chiropractor
- San Juan, PR
National Provider Identifier
1467562744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 417
- Practice address
- 1761 Carr. 8838 ER Piso
Bo. Monacillos
San Juan, PR 00926 - Phone
- (939) 475-9528
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 | 417 | PR | Primary |
Addresses
Primary practice location
1761 Carr. 8838 ER Piso
Bo. Monacillos
San Juan, PR 00926
Mailing address
275 Ave Winston Churchill
San Juan, PR 00926-6604
Phone (939) 475-9528
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
- Life Chiropractic College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1820 Carr
Suite 8838
San Juan, PR 00926-2744
Phone (787) 758-7813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 417 | PR | MD | Occupational Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- San Juan, PR
- NPI 1013075019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467562744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 AVE WINSTON CHURCHILL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266604",
"telephone_number": "939-475-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 CARR. 8838 ER PISO",
"address_2": "BO. MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "939-475-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA",
"first_name": "MARINES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "417",
"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 Jul 8, 2007; 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.