Active NPI
Jesus Enrique Selles, D.C.
- Chiropractor
- San Lorenzo, PR
National Provider Identifier
1649294711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 398
- Practice address
- 4 Luis Munoz Rivera
San Lorenzo, PR 00754 - Phone
- (787) 736-6757
- Fax
- (787) 736-6757
- NPI assigned
- Jul 26, 2006
- 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 | 398 | PR | Primary |
Addresses
Primary practice location
4 Luis Munoz Rivera
San Lorenzo, PR 00754
Mailing address
PO Box 1267
San Lorenzo, PR 00754-1267
Phone (787) 736-6757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060420000051 | PR | Practitioner - Chiropractic | 3678582574 | Practice locations: Caguas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
195 Calle Gautier Benitez
Suite 5
Caguas, PR 00725-5509
Phone (787) 961-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649294711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1267",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007541267",
"telephone_number": "787-736-6757",
"fax_number": "787-736-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 LUIS MUNOZ RIVERA",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "00754",
"telephone_number": "787-736-6757",
"fax_number": "787-736-6757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLES",
"first_name": "JESUS",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.