NPIMap

Organization Active NPI

Life University Inc

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1508580978
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFE UNIVERSITY INC
Practice address
225 Calle del Parque
Annex Building, Second Floor
San Juan, PR 00912
Phone
(787) 957-6067
NPI assigned
Sep 29, 2022
Organization subpart
Yes
Parent organization
LIFE UNIVERSITY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Luis Gerardo Torres, D.C.NPI 1760101281
Title
Clinic Director
Phone
(787) 957-6068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

225 Calle del Parque
Annex Building, Second Floor
San Juan, PR 00912

Mailing address

225 Calle del Parque
Annex Building, Second Floor
San Juan, PR 00912
Phone (787) 957-6067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627003645 PR Part B Supplier - Clinic/Group Practice 7214927284 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Life University Inc6 organizations share this tax ID, including this one
Part of
Life University Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Baltimore Pl NW
Ste 100
Atlanta, GA 30308
Phone (678) 331-4500

1269 Barclay Cir SE
Marietta, GA 30060
Phone (770) 424-0554

225 Calle del Parque
San Juan, PR 00912
Phone (631) 538-5630

225 Calle del Parque
Bldg Second
San Juan, PR 00912
Phone (787) 957-6067

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1508580978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CALLE DEL PARQUE",
            "address_2": "ANNEX BUILDING, SECOND FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-957-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CALLE DEL PARQUE",
            "address_2": "ANNEX BUILDING, SECOND FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-957-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE UNIVERSITY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE UNIVERSITY INC",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "GERARDO",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "787-957-6068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 29, 2022; 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.