Jose Rafael Bozzo, D.C.

Individual provider Active NPI Chiropractor · Yauco, PR

NPI 1841473360 · NPPES record last updated Apr 24, 2008

Key facts

NPI
1841473360
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
412 (PR)
Practice address
64 Calle Mattei Lluberas
Yauco, PR 00698-3632
Phone
(787) 267-2444
Fax
(787) 267-2444
NPI assigned
Dec 6, 2007
Sex
Male
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

64 Calle Mattei Lluberas
Yauco, PR 00698-3632
Phone (787) 267-2444

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080812000424 PR Practitioner - Chiropractic 7012082936 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Quiropracticos del Suroeste Yauco C.S.P. Chiropractor Current
since Jul 23, 2008
Accepting new patients

Locations

64 Calle Mattei Lluberas
Yauco, PR 00698
Phone (787) 267-2444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 412 PR Yes

Addresses

Primary practice location

64 Calle Mattei Lluberas
Yauco, PR 00698-3632

Mailing address

64 Calle Mattei Lluberas
Yauco, PR 00698-3632
Phone (787) 267-2444

Other providers in Yauco, PR

All providers in Yauco, PR · Chiropractor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.