NPIMap

Organization Active NPI

Advanced Chiropractic Services Corp PSC

  • Chiropractor
  • San Sebastian, PR
National Provider Identifier
1790286953
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
531 Issued in PR
Legal business name
ADVANCED CHIROPRACTIC SERVICES CORP PSC
Practice address
Carr 111 KM 16.8 Int
Bo Guatemala, Suit 3
San Sebastian, PR 00685
Phone
(787) 680-5103
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Dr. Jonathan Ivan Rodriguez Arocho, D.C.NPI 1427460328
Title
Doctor
Phone
(787) 344-7976

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 531 PR Primary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11217 FL

Addresses

Primary practice location

Carr 111 KM 16.8 Int
Bo Guatemala, Suit 3
San Sebastian, PR 00685

Mailing address

PO Box 5332
San Sebastian, PR 00685-5332
Phone (787) 896-8817

Other identifiers 1

IdentifierTypeStateIssuer
0380414400MedicaidPR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1790286953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5332",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855332",
            "telephone_number": "787-896-8817",
            "fax_number": "787-986-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 16.8 INT",
            "address_2": "BO GUATEMALA, SUIT 3",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-680-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC SERVICES CORP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ AROCHO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-344-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "531",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380414400",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.