Individual provider Active NPI

Luciano Luis Diaz Godoy, DC

  • Chiropractor
  • Bayamon, PR
National Provider Identifier
1831050368
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1086 Issued in PR
Practice address
71 Carr 174
Urbanizacion Agustin Stahl
Bayamon, PR 00956-3044
Phone
(787) 633-1190
Fax
(787) 746-5433
NPI assigned
Nov 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1086 PR Primary

Addresses

Primary practice location

71 Carr 174
Urbanizacion Agustin Stahl
Bayamon, PR 00956-3044

Mailing address

8 Calle Cordova
Caguas, PR 00727-2517
Phone (787) 633-1190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514004631 PR Practitioner - Chiropractic 9032688460 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Calle Cordova
Caguas, PR 00727

8 Calle Cordova
Caguas, PR 00727-2517
Phone (787) 633-1190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1086PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Essentials Chiropractic Center Chiropractor CurrentSince Nov 30, 2025 Accepting new patients

Locations

8 Calle Cordova
Caguas, PR 00727
Phone (787) 286-1700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1831050368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE CORDOVA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272517",
            "telephone_number": "787-633-1190",
            "fax_number": "787-746-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CARR 174",
            "address_2": "URBANIZACION AGUSTIN STAHL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563044",
            "telephone_number": "787-633-1190",
            "fax_number": "787-746-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GODOY",
        "first_name": "LUCIANO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.