Active NPI
Jose Antonio Maiz, DC
- Chiropractor
- Ponce, PR
National Provider Identifier
1528647443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 769
- Practice address
- La Rambla Plaza 606
Ave Tito Castro Suit 113
Ponce, PR 00716 - Phone
- (787) 221-3978
- NPI assigned
- Apr 7, 2021
- Last updated
- Apr 7, 2021
- Sex
- Male
- 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 | 769 | PR | Primary |
Addresses
Primary practice location
La Rambla Plaza 606
Ave Tito Castro Suit 113
Ponce, PR 00716
Mailing address
La Rambla Plaza 606
Ave Tito Castro Suit 113
Ponce, PR 00716
Phone (787) 221-3978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Torre Mdica San Cristbal
Oficina 407C
Ponce, PR 00780
Phone (787) 973-5151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 769 | PR | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Chiropractors LLC | Chiropractor | Current | Accepting new patients |
| Health Chiropractors & More LLC | Chiropractor | Current | Accepting new patients |
| Southern Chiropractic Incorporated | Chiropractor | Current | Accepting new patients |
Locations
606 Ave Tito Castro
Ste 113
Ponce, PR 00716
Phone (787) 221-3978
Organizations & group practices 3
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.
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- NPI 1184404774
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- Chiropractor
- Ponce, PR
- NPI 1629438031
-
- Chiropractor
- Ponce, PR
- NPI 1609406800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1528647443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LA RAMBLA PLAZA 606",
"address_2": "AVE TITO CASTRO SUIT 113",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-221-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LA RAMBLA PLAZA 606",
"address_2": "AVE TITO CASTRO SUIT 113",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-221-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIZ",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "769",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.