Organization Active NPI

Clinica Quiropractica de Ponce, Inc

  • Chiropractor
  • Ponce, PR
National Provider Identifier
1689935108
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
296 Issued in PR
Legal business name
CLINICA QUIROPRACTICA DE PONCE, INC
Practice address
8118 Calle Concordia Suite 202
Edificio Galeria Profesional
Ponce, PR 00717-1514
Phone
(787) 844-1130
Fax
(787) 259-3939
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Dr. Joseph M Redondo Sr., DC
Title
President
Phone
(787) 844-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 296 PR Primary

Addresses

Primary practice location

8118 Calle Concordia Suite 202
Edificio Galeria Profesional
Ponce, PR 00717-1514

Mailing address

8118 Calle Concordia Suite 202
Edificio Galeria Profesional
Ponce, PR 00717-1514
Phone (787) 844-1130

National Provider Directory

National Provider Directory

Locations

8118 Calle Concordia
Ste 202
Ponce, PR 00717
Phone (787) 844-1130

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1689935108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 CALLE CONCORDIA SUITE 202",
            "address_2": "EDIFICIO GALERIA PROFESIONAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171514",
            "telephone_number": "787-844-1130",
            "fax_number": "787-259-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 CALLE CONCORDIA SUITE 202",
            "address_2": "EDIFICIO GALERIA PROFESIONAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171514",
            "telephone_number": "787-844-1130",
            "fax_number": "787-259-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA QUIROPRACTICA DE PONCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "REDONDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-844-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.