Club Chiro
Organization Active NPI Chiropractor · Camuy, PR
NPI 1649024308 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1649024308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CLUB CHIRO
- Practice address
- Bo. Puente Carr-4491 K90.2
Camuy, PR 00627 - Phone
- (787) 457-8522
- NPI assigned
- Apr 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Lizmar Rodriguez, DC
- Title
- Doctor
- Phone
- (787) 457-8522
Practitioners 1
-
Lizmar Rodriguez, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241007004154 | PR | Part B Supplier - Clinic/Group Practice | 4082145685 |
Receives reassigned benefits from 1 practitioner Practice locations: Camuy, PR |
National Provider Directory
Locations
900 Carr 4491
Camuy, PR 00627
Phone (787) 898-2308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
Bo. Puente Carr-4491 K90.2
Camuy, PR 00627
Mailing address
PO Box 1058
Camuy, PR 00627-1058
Phone (787) 457-8522
Other providers in Camuy, PR
- Chikos - Centro de Terapias
- Hector Raul Cintron Colon
- Clinica Terapeutica Jeringonza
- Clinica Visual del Noroeste Corp
- Clinical Social Work Therapy Inc
- Jenizaret Colon-Molina
- Colrob Inc.
- Communication and Effective Skills Institute
- Consultorio Dental Dra Otero Padro
- Consultorio Medico Familiar Camuy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.