Organization Active NPI

The Q Wellness Center/Doctor Quiropractico Inc.

  • Chiropractor
  • Cabo Rojo, PR
National Provider Identifier
1467706804
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Mar 4, 2013

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.