Active NPI
Teresita Vicente, DC, MS
- Chiropractor
- San Juan, PR
National Provider Identifier
1487166294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 643
- Practice address
- 617 Calle Hillside
San Juan, PR 00920-4370 - Phone
- (787) 731-1575
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 643 | PR | Primary |
Addresses
Primary practice location
617 Calle Hillside
San Juan, PR 00920-4370
Mailing address
701 W Dr Martin Luther King Jr Blvd
Ste 4
Tampa, FL 33603-3100
Phone (813) 906-0000
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienestar Quiropractico CSP | Chiropractor | Past | Accepting new patients |
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 1104172162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1487166294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W DR MARTIN LUTHER KING JR BLVD",
"address_2": "STE 4",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033100",
"telephone_number": "813-906-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 CALLE HILLSIDE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009204370",
"telephone_number": "787-731-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENTE",
"first_name": "TERESITA",
"name_prefix": "Dr.",
"credential": "DC, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "643",
"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 Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.