Individual provider Active NPI

Rosemiriam Sierra, DC

  • Chiropractor
  • Juana Diaz, PR
National Provider Identifier
1720404353
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
526 Issued in PR
Practice address
HC 3 Box 11420
Juana Diaz, PR 00795-9561
Phone
(787) 586-6673
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 526 PR Primary

Addresses

Primary practice location

HC 3 Box 11420
Juana Diaz, PR 00795-9561

Mailing address

HC 3 Box 11420
Juana Diaz, PR 00795-9561
Phone (787) 586-6673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031000865 PR Practitioner - Chiropractic 9335360569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

P O Box
Suite 2311
Coamo, PR 00769

Urb Las Fuentes de Coamo
11 Calle Santa Isabel
Coamo, PR 00769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
526PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center, LLC Chiropractor CurrentSince Jul 14, 2021 Accepting new patients

Locations

19 Calle Degetau
Juana Diaz, PR 00795
Phone (787) 903-2529

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1720404353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 11420",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959561",
            "telephone_number": "787-586-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 11420",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959561",
            "telephone_number": "787-586-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "ROSEMIRIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.