Organization Active NPI

Reawaken Upper Cervical Chiropractic

  • Health Service Clinic/Center
  • San Juan, PR
National Provider Identifier
1942037437
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
REAWAKEN UPPER CERVICAL CHIROPRACTIC
Doing business as
ReAwaken Upper Cervical Chiropractic
Practice address
437 Ave. Hostos Local 1
San Juan, PR 00918
Phone
(787) 758-5080
NPI assigned
Sep 18, 2024
Last updated
Sep 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Authorized official

Name
Dr. Emilio F Jimenez, DCNPI 1043047533
Title
President
Phone
(787) 630-2611

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

437 Ave. Hostos Local 1
San Juan, PR 00918

Mailing address

1615 Calle Ozama
San Juan, PR 00926-2902
Phone (787) 630-2611

Other names 1

  • ReAwaken Upper Cervical Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

437 Ave Hostos
#1
San Juan, PR 00918
Phone (787) 758-5080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726963200000",
    "number": "1942037437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 CALLE OZAMA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262902",
            "telephone_number": "787-630-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 AVE. HOSTOS LOCAL 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-758-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAWAKEN UPPER CERVICAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-630-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReAwaken Upper Cervical Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.