Elam LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

Legal business name

ELAM LLC

Practice address

#604 Ave Tose Efron Paseo del Pata Shopping Village
Suite #6106 BLDG #4
Dorado, PR 00646

Phone

(787) 998-8754

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Berrios, DC

Title

Administrator/Chiropractor

Phone

(787) 998-8754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1891387650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#604 AVE TOSE EFRON PASEO DEL PATA SHOPPING VILLAGE",
            "address_2": "SUITE #6106 BLDG #4",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-998-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#604 AVE TOSE EFRON PASEO DEL PATA SHOPPING VILLAGE",
            "address_2": "SUITE #6106 BLDG #4",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-998-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/CHIROPRACTOR",
        "authorized_official_telephone_number": "787-998-8754",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.