Individual provider Active NPI

Eduardo Jose Rodriguez, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1699524785
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001064 Issued in PR
Practice address
A3 Calle Lodi
San Juan, PR 00924-3804
Phone
(787) 994-1777
NPI assigned
May 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001064 PR Primary

Addresses

Primary practice location

A3 Calle Lodi
San Juan, PR 00924-3804

Mailing address

QN4 Calle 246
Carolina, PR 00982-1894
Phone (386) 262-4877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023003636 PR Practitioner - Chiropractic 9931697604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

QN4 Calle
Suite 246
Carolina, PR 00982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001064PRMDChiropractor
1064PRMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebalance Chiropractic LLC Chiropractor CurrentSince Nov 24, 2025 Accepting new patients
Innatus Family Chiropractic LLC Chiropractor CurrentSince Aug 7, 2025 Accepting new patients

Locations

A3 Calle Lodi
San Juan, PR 00924
Phone (787) 764-2424

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1699524785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QN4 CALLE 246",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009821894",
            "telephone_number": "386-262-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A3 CALLE LODI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243804",
            "telephone_number": "787-994-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDUARDO",
        "middle_name": "JOSE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "001064",
            "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 Nov 21, 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.