Active NPI
Myrna Liz Siverio, DC
- Chiropractor
- Caguas, PR
National Provider Identifier
1982632956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 360
- Practice address
- Consolidated Mall Suite C 06
Gautier Benitez Ave
Caguas, PR 00725 - Phone
- (787) 746-3730
- Fax
- (787) 703-2860
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 360 | PR | Primary |
Addresses
Primary practice location
Consolidated Mall Suite C 06
Gautier Benitez Ave
Caguas, PR 00725
Mailing address
PO Box 6798
Caguas, PR 00726-6798
Phone (787) 746-3730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140731001179 | PR | Practitioner - Chiropractic | 3476779257 | Practice locations: Caguas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Consolidated Mall
Caguas, PR 00726
Phone (787) 746-3730
PO Box
Caguas, PR 00726
PO Box
Suite 6798
Caguas, PR 00726-6798
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982632956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6798",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007266798",
"telephone_number": "787-746-3730",
"fax_number": "787-703-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONSOLIDATED MALL SUITE C 06",
"address_2": "GAUTIER BENITEZ AVE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-746-3730",
"fax_number": "787-703-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVERIO",
"first_name": "MYRNA",
"middle_name": "LIZ",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.