Thais Bermudez
Individual provider Active NPI Chiropractor · San Juan, PR
NPI 1609200575 · NPPES record last updated Aug 28, 2013
Key facts
- NPI
- 1609200575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 522 (PR)
- Practice address
- 490 Calle Sirio Esquina Perseo
San Juan, PR 00922 - Phone
- (787) 919-7505
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BQG Corp | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 522 | PR | Yes |
Addresses
Primary practice location
490 Calle Sirio Esquina Perseo
San Juan, PR 00922
Mailing address
PO Box 11991
San Juan, PR 00922-1991
Phone (787) 306-4472
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.