Active NPI
Jose Cruz Troche, DC
- Chiropractor
- Yauco, PR
National Provider Identifier
1821602707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5238
- Practice address
- Centro Profesional del Sur Carr 121 KM. 13
Sector Cuatro Calles Susua Baja
Yauco, PR 00698 - Phone
- (787) 992-1019
- NPI assigned
- Sep 8, 2020
- Last updated
- Dec 6, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 5238 | NC | Primary |
Addresses
Primary practice location
Centro Profesional del Sur Carr 121 KM. 13
Sector Cuatro Calles Susua Baja
Yauco, PR 00698
Mailing address
504 Eastway Dr
Charlotte, NC 28205-1421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 897 | PR | MD | Occupational Therapist |
| 5238 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jr Chiropractic Management Group, CSP | Chiropractor | Current | Accepting new patients |
| Fannaitse Chiropractic Management | Chiropractor | Past | 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.
-
dba Centro Quiropractico de Yauco
- Chiropractor
- Yauco, PR
- NPI 1326854712
-
- Chiropractor
- Cabo Rojo, PR
- NPI 1962321133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1821602707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 EASTWAY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO PROFESIONAL DEL SUR CARR 121 KM. 13",
"address_2": "SECTOR CUATRO CALLES SUSUA BAJA",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698",
"telephone_number": "787-992-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ TROCHE",
"first_name": "JOSE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2024-12-06",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yauco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.