Individual provider Active NPI

Gisela M. Diaz Sola, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1669459426
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
378 Issued in PR
Practice address
Galeria Pacifico Suite 106
Ave Las Cumbres Int Carr 844
San Juan, PR 00926-0092
Phone
(787) 748-8585
NPI assigned
Dec 22, 2005
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 378 PR Primary

Addresses

Primary practice location

Galeria Pacifico Suite 106
Ave Las Cumbres Int Carr 844
San Juan, PR 00926-0092

Mailing address

Plaza San Miguel Suite 208
Expreso Manuel Rivera Morales
Trujillo Alto, PR 00976
Phone (787) 748-8585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001672 PR Practitioner - Chiropractic 9133115884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Ave Winston Churchill
PMB 187
San Juan, PR 00926-6066

30 Calle Teresa Jornet
San Juan, PR 00926-7665
Phone (787) 748-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
378PRMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1669459426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA SAN MIGUEL SUITE 208",
            "address_2": "EXPRESO MANUEL RIVERA MORALES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-748-8585",
            "fax_number": "787-748-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GALERIA PACIFICO SUITE 106",
            "address_2": "AVE LAS CUMBRES INT CARR 844",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260092",
            "telephone_number": "787-748-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ SOLA",
        "first_name": "GISELA",
        "middle_name": "M.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.