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
- Last updated
- Sep 6, 2019
- 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 | Optician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.