MIAMI PAIN & REHAB, INC (NPI# 1578860581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578860581 |
| Entity Type | Organization |
| Organization Name | MIAMI PAIN & REHAB, INC |
| Practice Address |
8501 Sw 124th Ave Suite 108 Miami FL 33183-4627 |
| Mailing Address |
12405 Biscayne Blvd North Miami FL 33181-2520 |
| Practice Telephone | 3056089248 |
| Mailing Telephone | 3056089248 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |
| Authorized Official Name | DR. TODD SUSSMAN (OWNER) |
| Authorized Official Telephone | 3056089248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH7830 | FL | Chiropractic Providers |
| Street Address |
8501 SW 124TH AVE SUITE 108 |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481022 | Ann E Ballen | Specialist | 8501 Sw 124th Ave, 109, Miami, FL 33183 | 2005-07-19 |
| 1235631946 | Yanet Villalonga | Nurse Practitioner | 8501 Sw 124th Ave, Miami, FL 33183-4627 | 2018-03-08 |
| 1134576465 | Carlos Candales | Nurse Practitioner | 8501 Sw 124th Ave, Suite 102-a, Miami, FL 33183-4627 | 2016-05-17 |
| 1912392580 | Obgyn Comprehensive Care, P.a. | Obstetrics & Gynecology | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2015-04-01 |
| 1780078477 | Kenneth B Shephard | Internal Medicine | 8501 Sw 124th Ave, 206, Miami, FL 33183-4627 | 2015-03-20 |
| 1215357827 | Laura Ann Briz | Nurse Practitioner | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2014-04-22 |
| 1295163509 | Janel Felipe | Optometrist | 8501 Sw 124th Ave, Suite 109, Miami, FL 33183-4627 | 2013-10-23 |
| 1801136734 | Susan Fox D.o., Pa | Obstetrics & Gynecology | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2013-03-01 |
| 1548546682 | Kendall Optical | Health Maintenance Organization | 8501 Sw 124th Ave, Suite 109a, Miami, FL 33183-4627 | 2011-11-02 |
| 1265717102 | Juan Carlos Silva | Technician/Technologist | 8501 Sw 124th Ave, Suite 109a, Miami, FL 33183-4627 | 2011-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
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| 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 |
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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.