Individual provider Active NPI

Sonjai Marie Rosario-Vicente, DC

  • Chiropractor
  • Caguas, PR
National Provider Identifier
1619595667
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
729 Issued in PR
Practice address
C8 Ave. Gautier Benitez
Consolidated Mall
Caguas, PR 00726
Phone
(787) 772-9850
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 729 PR Primary

Addresses

Primary practice location

C8 Ave. Gautier Benitez
Consolidated Mall
Caguas, PR 00726

Mailing address

HC 43 Box 10989
Cayey, PR 00736-9655
Phone (787) 205-6835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317003294 PR Practitioner - Chiropractic 0244714350 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Fagot Num 3022
Villa Esperanza
Ponce, PR 00730-3022
Phone (787) 546-3913

Ave Fagot Num 3022 B Villa Esperanza
Ponce, PR 00730

HC 43 Box
Suite 10989
Cayey, PR 00736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
729PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1619595667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 43 BOX 10989",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369655",
            "telephone_number": "787-205-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C8 AVE. GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MALL",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-772-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO-VICENTE",
        "first_name": "SONJAI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.