Crystal Nicole Rodriguez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

838 Issued in PR

Practice address

Ave Munoz Rivera 168 Oeste
Camuy, PR 00627-1052

Phone

(787) 222-7935

NPI assigned

Mar 3, 2023

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Restore Chiropractic Clinic

  • Chiropractor
  • Camuy, PR
  • NPI 1861183873
  Medicare reassignment

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1548960123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1052",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006271052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ RIVERA 168 OESTE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006271052",
            "telephone_number": "787-222-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "838",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PR",
            "license": "838",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "PR",
            "license": "838",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "PR",
            "license": "838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz D Robles, PH
• Nitza Z Rodriguez Jimenez, MSW
• Lisbeth Rodriguez Serrano, DC
• Rafael Antonio Rodriguez Serrano
• Carmen M Rodriguez-Gines
• Ivonne Enid Rodriguez
• Saelys I Rodriguez, MD
• Suzette Marie Rodriguez, CSW
• Jacqueline Rojas, P.T.A.
• Lesley Rolon Rios

• Chiropractor in Camuy, PR
• Providers in Camuy, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.