Individual provider Active NPI

Miguel Alexis Carbonell, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1770042319
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
673 Issued in PR
Practice address
Ave. Simon Madera Parcelas Falu, #11,
Edificio B, Local 4
San Juan, PR 00924
Phone
(787) 400-3437
NPI assigned
Mar 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 673 PR Primary

Addresses

Primary practice location

Ave. Simon Madera Parcelas Falu, #11,
Edificio B, Local 4
San Juan, PR 00924

Mailing address

HC 2 Box 14482
Carolina, PR 00987-9719
Phone (787) 400-8832

Other practice location 1

Centro Comercial Borinquen local 7 y 8
Ave Campo Rico
Carolina, PR 00982
Phone (787) 379-7650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203002268 PR Practitioner - Chiropractic 1153757554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Simon Madera Parcelas Falu
10 Edificio B Local 4
San Juan, PR 00924
Phone (787) 400-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
673PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Quiropractica Posturas LLC Chiropractor CurrentSince Jun 5, 2021 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, 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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1770042319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 14482",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009879719",
            "telephone_number": "787-400-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. SIMON MADERA PARCELAS FALU, #11,",
            "address_2": "EDIFICIO B, LOCAL 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-400-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Centro Comercial Borinquen local 7 y 8",
            "address_2": "Ave Campo Rico",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00982",
            "country_code": "US",
            "telephone_number": "787-379-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBONELL",
        "first_name": "MIGUEL",
        "middle_name": "ALEXIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "673",
            "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 Apr 9, 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.