Active NPI
Balanced Chiropractic Center LLC
- Chiropractor
- San Juan, PR
National Provider Identifier
1780241828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
- Last updated
- May 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andre Colon Perez, DC
- Title
- Chiropractor / President
- Phone
- (787) 957-6691
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
134 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 467-1017
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- San Juan, PR
- NPI 1629215264
-
- Chiropractor
- San Juan, PR
- NPI 1447950357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558569600000",
"number": "1780241828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 AVE DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183502",
"telephone_number": "787-467-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 AVE DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183502",
"telephone_number": "787-467-1017",
"fax_number": "787-957-6692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED CHIROPRACTIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-23",
"last_updated": "2019-05-23",
"status": "A",
"authorized_official_last_name": "COLON PEREZ",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "CHIROPRACTOR / PRESIDENT",
"authorized_official_telephone_number": "787-957-6691",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"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 May 23, 2019; 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.