Clinica Quiropractica Vertebras, CSP
Organization Active NPI Chiropractor · Hatillo, PR
NPI 1659628162 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1659628162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 493 (PR)
- Legal business name
- CLINICA QUIROPRACTICA VERTEBRAS, CSP
- Practice address
- 272 Calle Marginal
Suite 2
Hatillo, PR 00659-2421 - Phone
- (787) 544-5100
- Fax
- (787) 544-5100
- NPI assigned
- Aug 14, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Lisandra Alcaide Molina, D.C.
- Title
- Chiropractor
- Phone
- (787) 544-5100
Practitioners 3
-
Lisandra Alcaide Molina, D.C.
-
Karen Melendez Martinez, D.C,MBA
-
Michelle Marie Medina, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210223001678 | PR | Part B Supplier - Clinic/Group Practice | 7214342377 |
Receives reassigned benefits from 1 practitioner Practice locations: Hatillo, PR |
National Provider Directory
Locations
272 Calle Marginal
Ste 2
Hatillo, PR 00659
Phone (787) 544-5100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 493 | PR | Yes |
Addresses
Primary practice location
272 Calle Marginal
Suite 2
Hatillo, PR 00659-2421
Mailing address
272 Calle Marginal
Suite 2
Hatillo, PR 00659-2421
Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. 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.