Individual provider Active NPI

Michael I Rodriguez, DC

  • Chiropractor
  • Guaynabo, PR
National Provider Identifier
1821768144
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000790 Issued in PR
Practice address
D14 Calle Buen Samaritano
Guaynabo, PR 00966-2025
Phone
(787) 792-3712
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000790 PR Primary

Addresses

Primary practice location

D14 Calle Buen Samaritano
Guaynabo, PR 00966-2025

Mailing address

1308 Calle Luchetti Condominio El Taino
Apartmento #503
Sanjuan, PR 00907-1000
Phone (787) 513-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000790PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seba Chiropractic Services P.S.C. Chiropractor CurrentSince Sep 23, 2024 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1821768144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CALLE LUCHETTI CONDOMINIO EL TAINO",
            "address_2": "APARTMENTO #503",
            "city": "SANJUAN",
            "state": "PR",
            "postal_code": "009071000",
            "telephone_number": "787-513-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D14 CALLE BUEN SAMARITANO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662025",
            "telephone_number": "787-792-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHAEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "000790",
            "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 Sep 17, 2021; 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.