Southern Chiropractic Incorporated
NPI 1184404774ActiveOrganization· Chiropractor· Coto Laurel, PR
Chiropractor in Coto Laurel, Puerto Rico, registered in NPPES in October 2023. The authorized official on file is Jose Antonio Maiz-Dedos, DC, President/Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184404774 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2023 |
| Last updated in NPPES | Dec 16, 2023 |
| Certified by provider | Dec 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|