Individual provider Active NPI

Antonio Rodriguez Perez, D.C.

  • Chiropractor
  • Gurabo, PR
National Provider Identifier
1568864676
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
544 Issued in PR
Practice address
Plaza Marina Suite #13
535 Carr. 189 KM. 6.40
Gurabo, PR 00778-4202
Phone
(787) 414-9898
Fax
(787) 561-7464
NPI assigned
Sep 19, 2014
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11299 FL
Chiropractor 111N00000X 544 PR Primary

Addresses

Primary practice location

Plaza Marina Suite #13
535 Carr. 189 KM. 6.40
Gurabo, PR 00778-4202

Mailing address

352 Ave San Claudio
Suite #377
San Juan, PR 00926-4143
Phone (787) 414-9898

Other practice location 1

Metro Plaza Las Monjitas, 1255 Ave. Tito Castro
Suite M161
Ponce, PR 00730
Phone (787) 651-7816

Other practice location 2

11011 Sheridan St
Suite #214
Hollywood, FL 33026-1505
Phone (787) 647-9337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311001799 PR Practitioner - Chiropractic 1254637515 Reassigns benefits to 1 organization
Practice locations: Salinas, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Plaza Marina
Suite 13
Gurabo, PR 00778
Phone (787) 647-9337

PO Box
Suite 1052
Gurabo, PR 00778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11299FLMDChiropractor
544PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Inerva, LLC Chiropractor CurrentSince May 1, 2022 Accepting new patients
Health Chiropractors LLC Chiropractor CurrentSince Jan 19, 2020 Accepting new patients
Tu Quiro, LLC Chiropractor PastSince Mar 1, 2021 Accepting new patients

Locations

535 Carr 189
Ste 13
Gurabo, PR 00778
Phone (787) 414-9898

606 Ave Tito Castro
Ste 113
Ponce, PR 00716
Phone (787) 221-3978

352 Calle San Claudio
San Juan, PR 00926
Phone (787) 308-6555

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1568864676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 AVE SAN CLAUDIO",
            "address_2": "SUITE #377",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264143",
            "telephone_number": "787-414-9898",
            "fax_number": "787-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA MARINA SUITE #13",
            "address_2": "535 CARR. 189 KM. 6.40",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007784202",
            "telephone_number": "787-414-9898",
            "fax_number": "787-561-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Metro Plaza Las Monjitas, 1255 Ave. Tito Castro",
            "address_2": "Suite M161",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00730",
            "country_code": "US",
            "telephone_number": "787-651-7816",
            "fax_number": "787-561-7464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11011 Sheridan St",
            "address_2": "Suite #214",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330261505",
            "country_code": "US",
            "telephone_number": "787-647-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "ANTONIO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11299",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.