Active NPI
Antonio Fernando Manrique III, DC
- Chiropractor
- Caguas, PR
National Provider Identifier
1821497272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0530
- Practice address
- Calle Munoz Rivera Esq Lopez Flores
Urb. Paradis
Caguas, PR 00726 - Phone
- (787) 402-5545
- NPI assigned
- Aug 21, 2014
- Last updated
- Aug 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0530 | PR | Primary |
Addresses
Primary practice location
Calle Munoz Rivera Esq Lopez Flores
Urb. Paradis
Caguas, PR 00726
Mailing address
PO Box 1398
Caguas, PR 00726-1398
Phone (787) 402-5545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141107001657 | PR | Practitioner - Chiropractic | 3870715741 | Practice locations: Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 530 | PR | MD | Optometrist |
| 0530 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1821497272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1398",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007261398",
"telephone_number": "787-402-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MUNOZ RIVERA ESQ LOPEZ FLORES",
"address_2": "URB. PARADIS",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-402-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUE",
"first_name": "ANTONIO",
"middle_name": "FERNANDO",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "0530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.