Juan Carlos Bidot Jr., DC

Individual provider Active NPI Chiropractor · Cabo Rojo, PR

NPI 1851409015 · NPPES record last updated May 10, 2019

Key facts

NPI
1851409015
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
411 (PR)
Practice address
1 Carr 100 # KM
Barrio Miradero
Cabo Rojo, PR 00623-3802
Phone
(787) 254-6325
Fax
(787) 254-6325
NPI assigned
Aug 28, 2006
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
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2420 Carr
Suite 100
Cabo Rojo, PR 00623-4470
Phone (787) 254-6325

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070110000134 PR Practitioner - Chiropractic 5890795124 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 411 PR Yes

Addresses

Primary practice location

1 Carr 100 # KM
Barrio Miradero
Cabo Rojo, PR 00623-3802

Mailing address

PO Box 1171
Hormigueros, PR 00660-1171
Phone (787) 254-6325

Other providers in Cabo Rojo, PR

All providers in Cabo Rojo, PR · Chiropractor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.