Individual provider Active NPI

Eddie Alexander Urbaez-Colon, DC

  • Chiropractor
  • Miami, FL
National Provider Identifier
1053092106
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14615 Issued in FL
Practice address
1001 Ives Dairy Rd Ste 206
Miami, FL 33179-2501
Phone
(786) 272-5697
NPI assigned
Jul 31, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14615 FL Primary

Addresses

Primary practice location

1001 Ives Dairy Rd Ste 206
Miami, FL 33179-2501

Mailing address

4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228003599 NC Practitioner - Chiropractic 4880049493 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

402 E Sugar Creek Rd
Charlotte, NC 28213-6913
Phone (704) 405-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Clinic Estramonte Chiropractic Chiropractor CurrentSince Feb 5, 2024 Accepting new patients
Estramonte Chiropractic & Wellness Center East, P.a. Chiropractor CurrentSince Feb 5, 2024 Accepting new patients
Estramonte Chiropractic West PA Chiropractor CurrentSince Feb 5, 2024 Accepting new patients
Estramonte Chiropractic & Wellness Center Chiropractor CurrentSince Feb 5, 2024 Accepting new patients

Locations

4016 Triangle Dr
Charlotte, NC 28208
Phone (704) 392-1338

402 E Sugar Creek Rd
Charlotte, NC 28213
Phone (704) 405-7000

5344 Central Ave
Charlotte, NC 28212
Phone (704) 568-4195

6859 South Blvd
Charlotte, NC 28217
Phone (704) 274-5477

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1053092106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 IVES DAIRY RD STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792501",
            "telephone_number": "786-272-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAEZ-COLON",
        "first_name": "EDDIE",
        "middle_name": "ALEXANDER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.