Organization Active NPI

Miami Accident Clinic, Inc

  • Chiropractor
  • Coral Gables, FL
National Provider Identifier
1003045055
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9231 Issued in FL
Legal business name
MIAMI ACCIDENT CLINIC, INC
Practice address
3727 SW 8TH St Ste 102
Coral Gables, FL 33134-3158
Phone
(786) 380-6652
Fax
(305) 441-2509
NPI assigned
Jul 13, 2009
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeanette Diaz, D.CNPI 1861402646
Title
Doctor of Chiropractic
Phone
(786) 380-6652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9231 FL Primary

Addresses

Primary practice location

3727 SW 8TH St Ste 102
Coral Gables, FL 33134-3158

Mailing address

PO Box 430746
Miami, FL 33243-0746
Phone (786) 380-6652

Other identifiers 2

IdentifierTypeStateIssuer
382305900MedicaidFL
3980201900MedicaidFL

National Provider Directory

National Provider Directory

Locations

3727 SW 8th St
Ste 102
Coral Gables, FL 33134
Phone (305) 968-1371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1003045055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430746",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332430746",
            "telephone_number": "786-380-6652",
            "fax_number": "305-441-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 SW 8TH ST STE 102",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343158",
            "telephone_number": "786-380-6652",
            "fax_number": "305-441-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI ACCIDENT CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "786-380-6652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382305900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3980201900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.