Active Health and Fitness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 9589 Issued in FL

Legal business name

ACTIVE HEALTH AND FITNESS LLC

Practice address

20505 S Dixie Hwy
Suite 533
Cutler Bay, FL 33189-1229

Phone

(305) 380-6296

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Raphael Cervera, DC

Title

President

Phone

(305) 380-6296

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1053553685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20505 S DIXIE HWY",
            "address_2": "SUITE 533",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891229",
            "telephone_number": "305-380-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20505 S DIXIE HWY",
            "address_2": "SUITE 533",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891229",
            "telephone_number": "305-380-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "CERVERA",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-380-6296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadiyer Olga Acosta, M.D.
• Tatiana Acosta
• Wilmia Acosta
• Yesenia Acosta, ARNP
• Zamile Acosta, SLP CF
• Over Arturo Acuna, MD
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• Advance Pharmacy Solutions LLC
• Advanced Behavior and Psych Solutions, Inc

• All providers in Cutler Bay, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.