Individual provider Active NPI

Adamari Gomez Villegas, D.C.

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1669622106
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
442 Issued in PR
Practice address
Las Vistas SHPG VLG Ste 9
300 Ave, Felisa Rincon
San Juan, PR 00926-6088
Phone
(787) 914-4729
NPI assigned
Sep 20, 2008
Last updated
May 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 442 PR Primary

Addresses

Primary practice location

Las Vistas SHPG VLG Ste 9
300 Ave, Felisa Rincon
San Juan, PR 00926-6088

Mailing address

Las Vistas SHPG VLG Ste 9
300 Ave, Felisa Rincon
San Juan, PR 00926-6088
Phone (787) 914-4729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000597 PR Practitioner - Chiropractic 0446311427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

52 Calle Cristobal Colon
Yabucoa, PR 00767-3340
Phone (787) 600-4094

538 Ave Escorial
Urb Caparra Heights
San Juan, PR 00920-4705
Phone (787) 777-1171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
442PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic & Wellness LLC Chiropractor CurrentSince Oct 31, 2019 Accepting new patients

Locations

300 Ave Fr de Gautier
Ste 9
San Juan, PR 00926
Phone (787) 777-1171

538 Ave Escorial
San Juan, PR 00920
Phone (787) 777-1171

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": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1669622106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS VISTAS SHPG VLG STE 9",
            "address_2": "300 AVE, FELISA RINCON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266088",
            "telephone_number": "787-914-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAS VISTAS SHPG VLG STE 9",
            "address_2": "300 AVE, FELISA RINCON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266088",
            "telephone_number": "787-914-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ VILLEGAS",
        "first_name": "ADAMARI",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-20",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "442",
            "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 May 14, 2014; 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.