Organization Active NPI

Centro Quiropractico de Mayaguez, CSP

  • Chiropractor
  • Mayaguez, PR
National Provider Identifier
1790230399
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CENTRO QUIROPRACTICO DE MAYAGUEZ, CSP
Practice address
349 Ave Hostos
Medical Emporium II, Suite A33
Mayaguez, PR 00680-1509
Phone
(787) 265-4477
NPI assigned
Aug 24, 2016
Last updated
Aug 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raul Ernesto Aviles RamirezNPI 1225364003
Title
President
Phone
(787) 265-4477

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

349 Ave Hostos
Medical Emporium II, Suite A33
Mayaguez, PR 00680-1509

Mailing address

24 Calle Duarte
Urb San Jose
Mayaguez, PR 00682-1133
Phone (787) 265-4477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170314001424 PR Part B Supplier - Clinic/Group Practice 7315222361 Receives reassigned benefits from 1 practitioner
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

Locations

349 Ave Hostos
Mayaguez, PR 00680
Phone (787) 265-4477

349 Ave Hostos
Ste A33
Mayaguez, PR 00680
Phone (787) 265-4477

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1790230399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CALLE DUARTE",
            "address_2": "URB SAN JOSE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821133",
            "telephone_number": "787-265-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 AVE HOSTOS",
            "address_2": "MEDICAL EMPORIUM II, SUITE A33",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801509",
            "telephone_number": "787-265-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO QUIROPRACTICO DE MAYAGUEZ, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "AVILES RAMIREZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-265-4477",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.

Verify at the official NPI Registry.