Organization Active NPI

Restore Chiropractic Clinic

  • Chiropractor
  • Camuy, PR
National Provider Identifier
1861183873
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RESTORE CHIROPRACTIC CLINIC
Practice address
Ave Munoz Rivera 168 Oeste
Camuy, PR 00627-1052
Phone
(787) 222-7935
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Dr. Eduardo Jose Guzman Santiago, DCNPI 1245817014
Title
President
Phone
(939) 940-1606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

Ave Munoz Rivera 168 Oeste
Camuy, PR 00627-1052

Mailing address

Hco3 Box 12582
Camuy, PR 00627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113003539 PR Part B Supplier - Clinic/Group Practice 4789031782 Receives reassigned benefits from 2 practitioners
Practice locations: Camuy, PR

National Provider Directory

National Provider Directory

Locations

168 Ave Munoz Rivera Oeste
Camuy, PR 00627
Phone (787) 222-7935

Practitioners & affiliated clinicians

Practitioners 2

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": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1861183873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCO3 BOX 12582",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ RIVERA 168 OESTE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006271052",
            "telephone_number": "787-222-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "GUZMAN SANTIAGO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-940-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.