Individual provider Active NPI

Christian Manuel Martinez Jimenez Sr.

  • Chiropractor
  • Aguadilla, PR
National Provider Identifier
1982109401
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0648 Issued in PR
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

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190625003182 PR Practitioner - Chiropractic 4688908684 Reassigns benefits to 1 organization

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
Quiroplaza LLCGroup PAC ID 3870961410, 2 clinicians

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

LicenseStateTypeSpecialty
0648PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quiroplaza LLC Chiropractor CurrentSince Jan 1, 2023 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.

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.

Verify at the official NPI Registry.