Elvin J Siverio Casanova, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

327 Issued in PR

Practice address

1566 Calle Bori
Urb. Caribe
San Juan, PR 00927-6113

Phone

(787) 764-5879

Fax

(787) 763-8012

NPI assigned

Sep 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Esc Quiropracticos LLC

  • Sports Physician Chiropractor
  • San Juan, PR
  • NPI 1841813987
  Medicare reassignment NPD

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1912009457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 CALLE BORI",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276113",
            "telephone_number": "787-764-5879",
            "fax_number": "787-763-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 CALLE BORI",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276113",
            "telephone_number": "787-764-5879",
            "fax_number": "787-763-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERIO CASANOVA",
        "first_name": "ELVIN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PR",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Medical Group LLC
• Meredyth Simpson Alvarez
• Sirtac Enterprises, Inc. (Innovative Care)
• Sirtac Enterprises, Inc. (Innovative Care)
• Sistema Viva Inc.
• SJ Health, LLC
• Skin by Brau LLC
• Skymedical LLC
• SL Medical Supplies
• Slac Corp.

• Sports Physician Chiropractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Sports Physician Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.