Individual provider Active NPI

Jean Medina, DC

  • Rehabilitation Chiropractor
  • Bayamon, PR
National Provider Identifier
1699491415
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
873 Issued in PR
Practice address
21-26 Carr 174
Bayamon, PR 00959-6512
Phone
(787) 269-2447
NPI assigned
Oct 13, 2022
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 873 PR Primary

Addresses

Primary practice location

21-26 Carr 174
Bayamon, PR 00959-6512

Mailing address

Urb. Remanso Calle Arroyo C7
Cupey, PR 00926
Phone (787) 674-5689

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chiroensantarosa@outlook.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124004023 PR Practitioner - Chiropractic 1052803368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Carr 1 Ave Sakura Plaza Bairoa
Suite 120
Caguas, PR 00725

PO Box
San Juan, PR 00919

Urb Remanso Calle Arroyo
C7
San Juan, PR 00926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
873PRMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Health Clinics, LLC Chiropractor CurrentSince Oct 20, 2025 Accepting new patients
Centro Quiropractico Jose Bobonis PSC PastSince Nov 8, 2025 Accepting new patients

Organizations & group practices 2

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1699491415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. REMANSO CALLE ARROYO C7",
            "city": "CUPEY",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-674-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21-26 CARR 174",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596512",
            "telephone_number": "787-269-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PR",
            "license": "873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chiroensantarosa@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21-26 Carr 174",
            "city": "Bayamon",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009596512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.