CHIROPRACTIC BACK PAIN CLINIC (NPI# 1437221819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437221819 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC BACK PAIN CLINIC |
| Practice Address |
2645 Sw 37th Ave Suite 704 Miami FL 33133-2754 |
| Mailing Address |
1029 Malaga Ave Coral Gables FL 33134-6318 |
| Practice Telephone | 3057741119 |
| Practice Fax Number | 3057741141 |
| Mailing Telephone | 3054488251 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. OCTAVIO P. FERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 3057746923 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH6723 | FL | Chiropractic Providers |
| Street Address |
2645 SW 37TH AVE SUITE 704 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680421 | Phoenix Dental, Inc | Clinic/Center | 2645 Sw 37th Ave, Ste 303, Miami, FL 33133-2754 | 2005-06-27 |
| 1417583949 | Kristyn Alexus Sola | Physician Assistant | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2020-03-16 |
| 1750945085 | Juan J Sanchez Velasquez | Specialist/Technologist, Other | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2019-04-22 |
| 1043759749 | Sanitas Dental of Coral Gables | Clinic/Center | 2645 Sw 37th Ave, Suite 303, Miami, FL 33133-2754 | 2017-02-15 |
| 1194180166 | Dean M. Zusmer, D.c. P.a. | Chiropractor | 2645 Sw 37th Ave, Suite #503, Miami, FL 33133-2754 | 2015-12-17 |
| 1972999613 | Sal Health Group, LLC | Exclusive Provider Organization | 2645 Sw 37th Ave, Suite 601, Miami, FL 33133-2754 | 2015-04-09 |
| 1750770806 | Amaury Frias | Specialist/Technologist, Other | 2645 Sw 37th Ave, Suite 400, Miami, FL 33133-2754 | 2015-01-13 |
| 1821491358 | Coral Gables Dental Health Centre, Pa | Clinic/Center | 2645 Sw 37th Ave, #303, Miami, FL 33133-2754 | 2014-09-29 |
| 1740615418 | Dental Specialists of Coral Gables Group Co. | Dentist | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2013-09-12 |
| 1902174758 | Gary D. Small Dpm Corp | Non-Pharmacy Dispensing Site | 2645 Sw 37th Ave, Suite 704, Miami, FL 33133-2754 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540321 | Azur Family Chiropractic and Wellness | Chiropractor | 12821 N Kendall Dr, Miami, FL 33186-1707 | 2019-07-23 |
| 1285292144 | Giovanna Marie Ramirez | Chiropractor | 2645 Sw 37th Ave Ste 604, Miami, FL 33133-2745 | 2019-06-04 |
| 1841858297 | Health-fit Miami LLC | Chiropractor | 162 Ne 25th St Ste 103, Miami, FL 33137-4852 | 2019-05-31 |
| 1881259570 | Jeffrey Lamar Jackson II | Chiropractor | 13865 S Dixie Hwy # 307, Miami, FL 33176-7221 | 2019-05-08 |
| 1851955454 | Eugenio Alxide Hernandez | Chiropractor | 7235 Coral Way Ste 208, Miami, FL 33155-1452 | 2019-04-29 |
| 1578127106 | Dr. Abs Lifestyle & Wellness, LLC | Chiropractor | 488 Ne 18th St Unit 1709, Miami, FL 33132-1297 | 2019-04-29 |
| 1467015826 | Nicole Marie Ruiz-aponte | Chiropractor | 9421 Fontainebleau Blvd Apt 210, Miami, FL 33172-5582 | 2019-04-20 |
| 1699231076 | Vinita Gulati | Chiropractor | 11099 Sw 10th St Pg6 Suite 145, Miami, FL 33199-0001 | 2019-02-11 |
| 1922572031 | Wynwellness LLC | Chiropractor | 56 Ne 29th St, Miami, FL 33137-4413 | 2019-01-11 |
| 1922576743 | Elite Spine Miami, LLC | Chiropractor | 12001 Sw 128th Ct Ste 201, Miami, FL 33186-4666 | 2018-11-09 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.