Individual provider Active NPI

Ricardo Abella Diaz

  • Chiropractor
  • Levitown, PR
National Provider Identifier
1780966952
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
494 Issued in PR
Practice address
Paseo Cresta E 3178
Levitown, PR 00949
Phone
(787) 691-9709
NPI assigned
Sep 14, 2011
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 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 494 PR Primary

Addresses

Primary practice location

Paseo Cresta E 3178
Levitown, PR 00949

Mailing address

PO Box 363094
San Juan, PR 00936-3094
Phone (787) 691-9709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131231001592 PR Practitioner - Chiropractic 5092943704 Reassigns benefits to 1 organization
Practice locations: Toa Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Avenida del Valle
E3178
Toa Baja, PR 00949
Phone (787) 403-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
494PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Opchiropractic LLC Chiropractor CurrentSince Jul 15, 2024 Accepting new patients
Optimum Performance Chiropractic LLC Chiropractor Current Accepting new patients

Organizations & group practices 2

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1780966952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363094",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363094",
            "telephone_number": "787-691-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO CRESTA E 3178",
            "city": "LEVITOWN",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-691-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLA DIAZ",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levitown, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.