Functional Spine Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FUNCTIONAL SPINE CHIROPRACTIC LLC

Practice address

Doctor's Center 27 Calle Peral
Office 201-202
Mayaguez, PR 00680

Phone

(787) 309-4828

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kevin X Morales Avila, DC

Title

Doctor

Phone

(787) 309-4828

Specialties & licenses 1

Addresses

Other names 1

• Functional Spine Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Kevin Morales Avila

  • Chiropractor
  • Mayaguez, PR
  • NPI 1518638345
  Medicare reassignment NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1871310227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CALLE PADRE PEREZ",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTOR'S CENTER 27 CALLE PERAL",
            "address_2": "OFFICE 201-202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-309-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL SPINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "KEVIN X",
        "authorized_official_middle_name": "MORALES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-309-4828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Spine Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Frontera Clinical Lab PSC (Laboratorio Clinico Frontera)
• Frontera Colon & Suarez - Radiologos PSC
• Frontera Colon & Suarez - Radiologos PSC
• Francisco Juan Frontera-Ensenat, M.D.
• Juliana S Frontera, M.T.
• G & Z Wellness and Health
• Gaf Radiology, PSC.
• Yaindra Gallego Toledo, MD
• Jose G Gandara, MD
• Jose R Gandara, MD

• Chiropractor in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.