Organization Active NPI

Seba Chiropractic Services P.S.C.

  • Chiropractor
  • Guaynabo, PR
National Provider Identifier
1811262611
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
374 Issued in PR
Legal business name
SEBA CHIROPRACTIC SERVICES P.S.C.
Practice address
Urb. Gardenville
#D-14C/Buen Samaritano
Guaynabo, PR 00966
Phone
(787) 792-3712
Fax
(787) 775-6427
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Mr. Sebastian Bonnin Girod, DC
Title
Chiropractor
Phone
(787) 792-3712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 374 PR Primary

Addresses

Primary practice location

Urb. Gardenville
#D-14C/Buen Samaritano
Guaynabo, PR 00966

Mailing address

Urb. Gardenville
#D-14C/Buen Samaritano
Guaynabo, PR 00966
Phone (787) 792-3712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122004347 PR Part B Supplier - Clinic/Group Practice 3173058484 Receives reassigned benefits from 2 practitioners
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

D14 Calle Buen Samaritano
Guaynabo, PR 00966
Phone (787) 525-5879

Practitioners & affiliated clinicians

Practitioners 5

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": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1811262611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. GARDENVILLE",
            "address_2": "#D-14C/BUEN SAMARITANO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-792-3712",
            "fax_number": "787-775-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. GARDENVILLE",
            "address_2": "#D-14C/BUEN SAMARITANO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-792-3712",
            "fax_number": "787-775-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBA CHIROPRACTIC SERVICES P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "BONNIN GIROD",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "787-792-3712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.