Axis Spinal Care, LLC
Organization Active NPI Chiropractor · Ponce, PR
NPI 1780375196 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1780375196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- AXIS SPINAL CARE, LLC
- Practice address
- 2167 Blvd Luis a Ferre
Ponce, PR 00717-0725 - Phone
- (787) 901-8717
- NPI assigned
- May 17, 2023
- Organization subpart
- No
Authorized official
- Name
- Lorianne Perez Perez, DC
- Title
- Ceo
- Phone
- (787) 901-8717
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230828001708 | PR | Part B Supplier - Clinic/Group Practice | 7719340546 |
Receives reassigned benefits from 1 practitioner Practice locations: Ponce, PR |
National Provider Directory
Locations
2167 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 901-8717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
2167 Blvd Luis a Ferre
Ponce, PR 00717-0725
Mailing address
PO Box 8120
Ponce, PR 00732-8120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 599403120 | Other | CHIROPRACTOR |
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. 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.