KEVIN GOMEZ DIAZ
NPI 1013745678
Chiropractor in San Juan, PR

Active since July 24, 2024
1450 AVE ASHFORD, SAN JUAN, PR 00907(787) 344-0708 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Jul 24, 2024 (2 updates tracked since 2024).

About Kevin Gomez Diaz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN GOMEZ DIAZ (NPI 1013745678) is an individual chiropractor in San Juan, Puerto Rico, licensed in Puerto Rico (1091) and active in the NPI registry since July 2024. He maintains a secondary practice location in Ponce and is a graduate of Palmer College Chiropractic - Davenport (2023).

NPPES Registry Identity

NPI1013745678
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKEVIN GOMEZ DIAZ
Location Address1450 AVE ASHFORDSan Juan, PR 00907-1590
Mailing Address1 Calle Ronda Apt 902San Juan, PR 00926-2363 · (787) 627-0704
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2023
Enumeration DateJuly 24, 2024
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1013745678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in PR · 1091 Licensed in FL · CH14734
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Secondary Practice Location 1

Location 18169 Calle Concordia Ste 104Ponce, PR 00717-1556 · Phone (787) 812-0100

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Gomez Diaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587198361
PECOS Enrollment IDI20251108000467

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1450 AVE ASHFORD, COND. CASA DEL VALLE SUITE 1C CONDADO
SANTURCE, PR 00907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Gomez Diaz's NPI number?

The NPI number for Kevin Gomez Diaz is 1013745678. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Kevin Gomez Diaz located?

Kevin Gomez Diaz practices at 1450 Ave Ashford, San Juan, PR 00907. The listed phone number is (787) 344-0708.

What is Kevin Gomez Diaz's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kevin Gomez Diaz enrolled in Medicare?

Yes. Kevin Gomez Diaz is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Gomez Diaz accept?

Health plans from Providence Health Plan and Wellpoint list Kevin Gomez Diaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Gomez Diaz was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.