Centro Quiropractico de Vega Alta LLC
Organization Active NPI Chiropractor · Vega Alta, PR
NPI 1548042872 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1548042872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CENTRO QUIROPRACTICO DE VEGA ALTA LLC
- Practice address
- 2 Calle 1
Vega Alta, PR 00692-7113 - Phone
- (787) 245-4936
- NPI assigned
- Oct 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Jose Carlos Maysonet Acevedo, DC
- Title
- Owner
- Phone
- (787) 994-9330
Practitioners 2
-
Luis Rodriguez Sastre, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240620003579 | PR | Part B Supplier - Clinic/Group Practice | 5193268951 |
Receives reassigned benefits from 1 practitioner Practice locations: Vega Alta, PR |
National Provider Directory
Locations
2 Calle 1
Vega Alta, PR 00692
Phone (787) 245-4936
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
2 Calle 1
Vega Alta, PR 00692-7113
Mailing address
N11 Calle 9
Vega Alta, PR 00692-6010
Phone (787) 994-9330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039624600 | Medicaid | PR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcmaysonet@outlook.com | Direct |
Other providers in Vega Alta, PR
- Centro Dr. Edwin F. Girau Nieves
- Centro Imagen
- Centro Medicina Primaria Vega Alta
- Centro Medicina Primaria Vega Alta
- Centro Pediatrico Estrellita Dorada
- Centro Radiologico Alondra
- Centro Terapia Fisica Rivera Nieves Inc
- CF Medical Services
- Champion Dental PC
- Marangelli Claudio
All providers in Vega Alta, PR · Chiropractor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.