MEDICARE: DR. GILBERT SETH WEINER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	242	PR
2	111N00000X	Chiropractor	3146	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	602319	OTHER	PR	MEDICARE MUCHO MAS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	074008	OTHER	PR	LA CRUZ AZUL
2	6605397810011	OTHER	PR	CIGNA
3	9680006	OTHER	PR	HUMANA
5	5-1228	OTHER	PR	TRIPLE-S

General Provider Information

NPI Number	:	1265437040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERT SETH WEINER D.C.

Provider Business Mailing Address
First Line	:	456B CENTRE ST
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-1884
Country	:	US
Telephone Number	:	787-783-3253
Fax Number	:

Provider Business Practice Location Address
First Line	:	653 CALLE HIPODROMO
Second Line	:	SUITE #101
City	:	SANTURCE
State	:	PR
Zip	:	00907-3467
Country	:	US
Telephone Number	:	787-783-3253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	10/12/2017

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Directions to “ DR. GILBERT SETH WEINER D.C.” Practice Location

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