Grupo Quiropractico Indalo CSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0270 Issued in PR

Legal business name

GRUPO QUIROPRACTICO INDALO CSP

Practice address

508 Calle Cesar Gonzalez
San Juan, PR 00918-2652

Phone

(787) 759-9605

Fax

(787) 754-6958

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edel Ricardo Diaz, D.C.NPI 1659463297

Title

Doctor of Chiropractic

Phone

(787) 759-9605

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edel Ricardo Diaz, D.C.

  • Sports Physician Chiropractor
  • San Juan, PR
  • NPI 1659463297
  NPD (past) Authorized official

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1699106823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CALLE CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182652",
            "telephone_number": "787-759-9605",
            "fax_number": "787-754-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CALLE CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182652",
            "telephone_number": "787-759-9605",
            "fax_number": "787-754-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO QUIROPRACTICO INDALO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "EDEL",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "787-759-9605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PR",
            "license": "0270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grupo Oncologico Comunitario de San Juan PSC Medicos
• Grupo Ortopedico del Este C.S.P.
• Grupo Pediatrico Myj
• Grupo Pediatrico San Patricio
• Grupo Psiquiatrico, CSP
• Grupo Radiologico CDT Dr Gualberto Rabell
• Grupo Radiologico CDT Jose S Belaval
• Grupo Radiologico Dr Javier Javier Anton
• Grupo Radiologico Dr Lopez Antogiorgi
• Grupo Radiologico Dr Oliveras Guerras

• Sports Physician Chiropractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Sports Physician Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.