Individual provider Active NPI

Amanda Nicole Nunez, DC

  • Chiropractor
  • Toa Baja, PR
National Provider Identifier
1871102368
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
721 Issued in PR
Practice address
Condominio Lagoplaya Calle Coral 3000
Apt 3022
Toa Baja, PR 00949
Phone
(404) 974-7839
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 721 PR Primary

Addresses

Primary practice location

Condominio Lagoplaya Calle Coral 3000
Apt 3022
Toa Baja, PR 00949

Mailing address

Condominio Lagoplaya Calle Coral
Apt 3022
Toa Baja, PR 00949
Phone (404) 974-7839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004002694 PR Practitioner - Chiropractic 4385000298 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
721PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Team Chiropractic Ponce LLC Chiropractor CurrentSince Jul 18, 2024 Accepting new patients
Con Sentido Quiropractica LLC Chiropractor PastSince Jul 18, 2024 Accepting new patients

Locations

2225 Ponce Byp
Ste 601
Ponce, PR 00717
Phone 78784086866234

Organizations & group practices 2

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1871102368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO LAGOPLAYA CALLE CORAL",
            "address_2": "APT 3022",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "404-974-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO LAGOPLAYA CALLE CORAL 3000",
            "address_2": "APT 3022",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "404-974-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.