Cqspr LLC
Organization Active NPI Chiropractor · Camuy, PR
NPI 1962082669 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1962082669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CQSPR LLC
- Practice address
- Carr 119 KM 6 HM0 Barrio Puente
Camuy, PR 00627-0062 - Phone
- (787) 452-1758
- NPI assigned
- Apr 8, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Nestor Rivas Rodriguez, DC
- Title
- Chiropractor
- Phone
- (787) 452-1758
Practitioners 2
-
Nestor Rivas, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220505001147 | PR | Part B Supplier - Clinic/Group Practice | 1153718432 |
Receives reassigned benefits from 2 practitioners Practice locations: Camuy, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
Carr 119 KM 6 HM0 Barrio Puente
Camuy, PR 00627-0062
Mailing address
155 Reparto Mendez
Camuy, PR 00627-2863
Phone (787) 452-1758
Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.