Individual provider Active NPI

Hector Omar Pena, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1740950153
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
725 Issued in PR
Practice address
Urbanizacion Hyde Park
#285 Avenida Jesus T. Pinero
San Juan, PR 00926-3069
Phone
(787) 436-5595
NPI assigned
Sep 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 725 PR Primary

Addresses

Primary practice location

Urbanizacion Hyde Park
#285 Avenida Jesus T. Pinero
San Juan, PR 00926-3069

Mailing address

Urbanizacion Asomante 113
Via del Guayabal
Caguas, PR 00727-3069
Phone (787) 478-2450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509002299 PR Practitioner - Chiropractic 8224479142 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Essentials Chiropractic Center Chiropractor PastSince Aug 28, 2022 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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1740950153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION ASOMANTE 113",
            "address_2": "VIA DEL GUAYABAL",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273069",
            "telephone_number": "787-478-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION HYDE PARK",
            "address_2": "#285 AVENIDA JESUS T. PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263069",
            "telephone_number": "787-436-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "HECTOR",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "725",
            "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 Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.