Advance Chiropractic, L.L.C.

Organization Active NPI Clinic/Center · Carolina, PR

NPI 1992954796 · NPPES record last updated Sep 17, 2008

Key facts

NPI
1992954796
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
License
433 (PR)
Legal business name
ADVANCE CHIROPRACTIC, L.L.C.
Practice address
Ave Fidalgo Diaz, Villa Fontana BL-2
Carolina, PR 00983
Phone
(787) 257-5200
NPI assigned
Sep 17, 2008
Organization subpart
No

Authorized official

Name
Dr. Victor Manuel Cruz, D.C. NPI 1932384526
Title
President
Phone
(787) 344-6695

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 433 PR Yes

Addresses

Primary practice location

Ave Fidalgo Diaz, Villa Fontana BL-2
Carolina, PR 00983

Mailing address

Valle Arriba Height
BW-7, 113 St
Carolina, PR 00983-3326
Phone (787) 344-6695

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 17, 2008.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1992954796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLE ARRIBA HEIGHT",
            "address_2": "BW-7, 113 ST",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833326",
            "telephone_number": "787-344-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FIDALGO DIAZ, VILLA FONTANA BL-2",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-257-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-344-6695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

All providers in Carolina, PR · Clinic/Center in Puerto Rico

Sources for this page

Verify at the official NPI Registry.