Organization Active NPI

Living Well Chiropractic Center PSC

  • Chiropractor
  • Manati, PR
National Provider Identifier
1972801140
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0353 Issued in PR
Legal business name
LIVING WELL CHIROPRACTIC CENTER PSC
Practice address
Urb. Villa Maria B-3
Manati, PR 00674
Phone
(787) 854-1067
Fax
(787) 854-8311
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Dr. Oscar O Otero, D.C.NPI 1760456321
Title
Chiropractor
Phone
(787) 854-1067

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0353 PR Primary

Addresses

Primary practice location

Urb. Villa Maria B-3
Manati, PR 00674

Mailing address

Urb. Villa Maria B-3
Manati, PR 00674
Phone (787) 854-1067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130430000429 PR Part B Supplier - Clinic/Group Practice 8426295932 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Locations

B3 Villa Maria
Manati, PR 00674
Phone (787) 854-1067

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1972801140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLA MARIA B-3",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-1067",
            "fax_number": "787-854-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLA MARIA B-3",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-1067",
            "fax_number": "787-854-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL CHIROPRACTIC CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "787-854-1067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "0353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.