Active NPI
The Q Wellness Center/Doctor Quiropractico Inc.
- Chiropractor
- Cabo Rojo, PR
National Provider Identifier
1467706804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- THE Q WELLNESS CENTER/DOCTOR QUIROPRACTICO INC.
- Practice address
- Carr 100 KM 5.1 Solar 3
Barrio Miradero
Cabo Rojo, PR 00623 - Phone
- (787) 254-6325
- Fax
- (787) 254-6325
- NPI assigned
- Nov 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Carlos Bidot Avila, D.C.
- Title
- Doctor Quiropractico
- Phone
- (787) 254-6325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
Carr 100 KM 5.1 Solar 3
Barrio Miradero
Cabo Rojo, PR 00623
Mailing address
PO Box 1171
Hormigueros, PR 00660-1171
Phone (787) 254-6325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130304000266 | PR | Part B Supplier - Clinic/Group Practice | 6002061710 |
Receives reassigned benefits from 1 practitioner Practice locations: Cabo Rojo, PR |
National Provider Directory
National Provider DirectoryLocations
2420 Carr 100
Cabo Rojo, PR 00623
Phone (787) 254-6325
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362355200000",
"number": "1467706804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1171",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006601171",
"telephone_number": "787-254-6325",
"fax_number": "787-254-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 100 KM 5.1 SOLAR 3",
"address_2": "BARRIO MIRADERO",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-254-6325",
"fax_number": "787-254-6325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE Q WELLNESS CENTER/DOCTOR QUIROPRACTICO INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-07",
"last_updated": "2013-03-04",
"status": "A",
"authorized_official_last_name": "BIDOT AVILA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "CARLOS",
"authorized_official_title_or_position": "DOCTOR QUIROPRACTICO",
"authorized_official_telephone_number": "787-254-6325",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.