Active NPI
Christian Manuel Martinez Jimenez Sr.
- Chiropractor
- Aguadilla, PR
National Provider Identifier
1982109401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0648
- Practice address
- Carretera 110 KM 32
Aguadilla, PR 00603-0998 - Phone
- (787) 872-9988
- Fax
- (787) 877-3516
- NPI assigned
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0648 | PR | Primary |
Addresses
Primary practice location
Carretera 110 KM 32
Aguadilla, PR 00603-0998
Mailing address
8616 Callejon Los Gonzalez
Quebradillas, PR 00678-9732
Phone (787) 308-9713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 Ave FD Roosevelt Torre Plaza Las
Ofic 805
San Juan, PR 00918
Phone (787) 294-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0648 | PR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quiroplaza LLC | Chiropractor | Current | Accepting new patients |
Locations
525 Ave Fd Roosevelt
Ofc 805
San Juan, PR 00918
Phone (787) 233-1001
Organizations & group practices 1
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.
-
- Chiropractor
- San Juan, PR
- NPI 1215606801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1982109401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 CALLEJON LOS GONZALEZ",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006789732",
"telephone_number": "787-308-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 110 KM 32",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006030998",
"telephone_number": "787-872-9988",
"fax_number": "787-877-3516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ JIMENEZ",
"first_name": "CHRISTIAN",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "0648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.