Organization Active NPI

Quiropracticos del Suroeste Yauco C.S.P.

  • Chiropractor
  • Yauco, PR
National Provider Identifier
1942450465
Registry record updated Sep 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
412 Issued in PR
Legal business name
QUIROPRACTICOS DEL SUROESTE YAUCO C.S.P.
Practice address
64 Calle Mattei Lluberas
Yauco, PR 00698-3632
Phone
(787) 267-2444
Fax
(787) 267-2444
NPI assigned
Sep 20, 2008
Last updated
Sep 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2008

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

Authorized official

Name
Dr. Jose Rafael Bozzo, D.C.NPI 1841473360
Title
President
Phone
(787) 267-2444

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
Chiropractor 111N00000X 412 PR Primary

Addresses

Primary practice location

64 Calle Mattei Lluberas
Yauco, PR 00698-3632

Mailing address

64 Calle Mattei Lluberas
Yauco, PR 00698-3632
Phone (787) 267-2444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000055 PR Part B Supplier - Clinic/Group Practice 8921176587 Receives reassigned benefits from 1 practitioner
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory

Locations

64 Calle Mattei Lluberas
Yauco, PR 00698
Phone (787) 267-2444

Practitioners & affiliated clinicians

Practitioners 1

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": "1221868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221868800000",
    "number": "1942450465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CALLE MATTEI LLUBERAS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983632",
            "telephone_number": "787-267-2444",
            "fax_number": "787-267-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE MATTEI LLUBERAS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983632",
            "telephone_number": "787-267-2444",
            "fax_number": "787-267-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIROPRACTICOS DEL SUROESTE YAUCO C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A",
        "authorized_official_last_name": "BOZZO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-267-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.