Individual provider Active NPI

Josue E Rivera-Vazquez, D.C

  • Chiropractor
  • Bayamon, PR
National Provider Identifier
1548080864
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1028 Issued in PR
Practice address
Urb Flamingo Terrace Calle Marginal Carr 167 a-9
Bayamon, PR 00957-9998
Phone
(939) 577-3528
NPI assigned
Oct 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1028 PR Primary

Addresses

Primary practice location

Urb Flamingo Terrace Calle Marginal Carr 167 a-9
Bayamon, PR 00957-9998

Mailing address

Urb Estancias de la Fuente 141 Calle Nardo
Toa Alta, PR 00953-3685
Phone (787) 223-7964

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317003597 PR Practitioner - Chiropractic 3072035260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1028PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1548080864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ESTANCIAS DE LA FUENTE 141 CALLE NARDO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533685",
            "telephone_number": "787-223-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB FLAMINGO TERRACE CALLE MARGINAL CARR 167 A-9",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009579998",
            "telephone_number": "939-577-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-VAZQUEZ",
        "first_name": "JOSUE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-11",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "1028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.