Individual provider Active NPI

Lorelys H Mojica Gonzalez, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1699272104
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
650 Issued in PR
Practice address
Urb. Santiago Iglesias
Calle Manuel Ocasio #1445
San Juan, PR 00921-4132
Phone
(787) 300-0853
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 650 PR Primary

Addresses

Primary practice location

Urb. Santiago Iglesias
Calle Manuel Ocasio #1445
San Juan, PR 00921-4132

Mailing address

PO Box 12143
San Juan, PR 00914-0143
Phone (873) 000-8537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627000331 PR Practitioner - Chiropractic 0143576538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1445 Calle Manuel Ocasio
San Juan, PR 00921-4132
Phone (787) 300-0853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
650PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oficina Quiropractica Dra. Lorelys Mojica Corp. Chiropractor CurrentSince Sep 26, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1699272104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12143",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009140143",
            "telephone_number": "873-000-8537",
            "fax_number": "787-936-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SANTIAGO IGLESIAS",
            "address_2": "CALLE MANUEL OCASIO #1445",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214132",
            "telephone_number": "787-300-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJICA GONZALEZ",
        "first_name": "LORELYS",
        "middle_name": "H",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "650",
            "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 Aug 12, 2020; 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.