Organization Active NPI

Esc Quiropracticos LLC

  • Sports Physician Chiropractor
  • San Juan, PR
National Provider Identifier
1841813987
Registry record updated May 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
ESC QUIROPRACTICOS LLC
Practice address
1566 Calle Bori
San Juan, PR 00927-6113
Phone
(787) 764-1541
Fax
(787) 763-8012
NPI assigned
May 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2020

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

Authorized official

Name
Dr. Elvin Josue Siverio, DC
Title
President
Phone
(787) 613-5879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

1566 Calle Bori
San Juan, PR 00927-6113

Mailing address

1566 Calle Bori
San Juan, PR 00927-6113
Phone (787) 764-1541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200623000174 PR Part B Supplier - Clinic/Group Practice 9133541097 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

1566 Calle Bori
San Juan, PR 00927
Phone (787) 764-1541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590192000000",
    "number": "1841813987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 CALLE BORI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276113",
            "telephone_number": "787-764-1541",
            "fax_number": "787-763-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 CALLE BORI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276113",
            "telephone_number": "787-764-1541",
            "fax_number": "787-763-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESC QUIROPRACTICOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A",
        "authorized_official_last_name": "SIVERIO",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_middle_name": "JOSUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-613-5879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.

Verify at the official NPI Registry.