Doral Spine & Wellness Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DORAL SPINE & WELLNESS INC

Practice address

8726 NW 26TH St Ste 16
Doral, FL 33172-1628

Phone

(305) 477-7976

Fax

(305) 629-9187

NPI assigned

Dec 17, 2019

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alejandro De la Fuente

Title

Vice President

Phone

(305) 477-7976

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1053959361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 NW 26TH ST STE 16",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721628",
            "telephone_number": "305-477-7976",
            "fax_number": "305-629-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 NW 26TH ST STE 16",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721628",
            "telephone_number": "305-477-7976",
            "fax_number": "305-629-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL SPINE & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "DE LA FUENTE",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-477-7976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108352100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.doralspine.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "contact information",
            "address_1": "8726 NW 26th St Ste 16",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331721628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Doral Physical Therapy L.L.C.
• Doral Physiotherapy, PLLC
• Doral Recovery Center, Inc
• Doral Rehab and Fitness Center Inc
• Doral Relief Medical Center
• Doral Spine & Wellness, Inc.
• Doral Surgical Services
• Doral Therapy Center, Corp
• Doral Therapy Clinic, Corp
• Doral Therapy Servces Inc

• General Practice Physician in Doral, FL
• Providers in Doral, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.