Active NPI
Jorge M Segui, D.C
- Chiropractor
- Ponce, PR
National Provider Identifier
1619258126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 495
- Practice address
- Calle Ana D Perez Marshand
Lote 2 - Bypass
Ponce, PR 00732-7004 - Phone
- (787) 840-0052
- Fax
- (787) 840-2317
- NPI assigned
- Aug 30, 2011
- Last updated
- Feb 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 495 | PR | Primary |
Addresses
Primary practice location
Calle Ana D Perez Marshand
Lote 2 - Bypass
Ponce, PR 00732-7004
Mailing address
Monteverde II
12 Margarita St.
San Juan, PR 00926
Phone (787) 403-5328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA330A | Other | PR | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120113000330 | PR | Practitioner - Chiropractic | 9638346703 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
221 Ave Ponce de Leon
Suite C 2
San Juan, PR 00917-1802
Phone (787) 403-5328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 495 | PR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ponce Medical School Foundation Inc | Current | Accepting new patients | |
| Ponce Medical School Foundation, Inc. | Past | Accepting new patients | |
| Chiropractic Solutions | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- San Juan, PR
- NPI 1851710073
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1043208804
-
- Clinical Medical Laboratory
- Ponce, PR
- NPI 1265644868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1619258126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MONTEVERDE II",
"address_2": "12 MARGARITA ST.",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-403-5328",
"fax_number": "787-777-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ANA D PEREZ MARSHAND",
"address_2": "LOTE 2 - BYPASS",
"city": "PONCE",
"state": "PR",
"postal_code": "007327004",
"telephone_number": "787-840-0052",
"fax_number": "787-840-2317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGUI",
"first_name": "JORGE",
"middle_name": "M",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GA330A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.