Individual provider Active NPI

Jose Antonio Maiz, DC

  • Chiropractor
  • Ponce, PR
National Provider Identifier
1528647443
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
769 Issued in PR
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
769MedicaidPR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222004381 PR Practitioner - Chiropractic 7810331360 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
769PRMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Chiropractors LLC Chiropractor CurrentSince Apr 11, 2021 Accepting new patients
Health Chiropractors & More LLC Chiropractor CurrentSince Apr 11, 2021 Accepting new patients
Southern Chiropractic Incorporated Chiropractor CurrentSince Dec 11, 2023 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.

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.

Verify at the official NPI Registry.