Balanced Chiropractic Center LLC
Organization Active NPI Chiropractor · San Juan, PR
NPI 1780241828 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1780241828
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BALANCED CHIROPRACTIC CENTER LLC
- Practice address
- 134 Ave Domenech
San Juan, PR 00918-3502 - Phone
- (787) 467-1017
- Fax
- (787) 957-6692
- NPI assigned
- May 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Andre Colon Perez, DC
- Title
- Chiropractor / President
- Phone
- (787) 957-6691
Practitioners 2
-
Andre Colon Perez, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190912000153 | PR | Part B Supplier - Clinic/Group Practice | 4082943386 |
Receives reassigned benefits from 2 practitioners Practice locations: San Juan, PR |
National Provider Directory
Locations
134 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 467-1017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
134 Ave Domenech
San Juan, PR 00918-3502
Mailing address
134 Ave Domenech
San Juan, PR 00918-3502
Phone (787) 467-1017
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.