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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: October 25, 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
Phone(787) 344-0708
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

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Gomez Diaz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dynamic Care, Inc.
Chiropractor
609 MAITLAND AVE, SUITE 4
Altamonte Springs, FL 32701
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1841461241 (407) 331-4325
Pop Health, LLC
Chiropractor
COND CASA DEL VALLE, COMERCIAL B, 1450 AVE ASHFORD
San Juan, PR 00907
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 3 clinicians in this Medicare group
NPI 1194338574 (787) 450-7199

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. CARMEN ROSA ALVAREZ-VILLAR M.D.
Radiology (Diagnostic Radiology)
1450 AVE ASHFORD, COND. CASA DEL VALLE SUITE 1C CONDADO
SANTURCE, PR 00907
San Juan Municipio (787) 723-4664

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.

Which organizations bill Medicare for Kevin Gomez Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gomez Diaz reassigns Medicare benefits to 2 organizations: Dynamic Care, Inc. (Altamonte Springs, FL) and Pop Health, LLC (San Juan, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Gomez Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Gomez Diaz accept?

Health plans from 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 12 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.