Organization Active NPI

Revive Chiropractic Health Center

  • Chiropractor
  • Hialeah, FL
National Provider Identifier
1083187041
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REVIVE CHIROPRACTIC HEALTH CENTER
Practice address
7600 W 20TH Ave Ste 107
Hialeah, FL 33016-1895
Phone
(786) 401-6115
Fax
(786) 391-2608
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Hector Luis Andino Rivera II, D.C.
Title
Doctor
Phone
(787) 300-9902

Specialties & licenses 1

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

Addresses

Primary practice location

7600 W 20TH Ave Ste 107
Hialeah, FL 33016-1895

Mailing address

7600 W 20TH Ave Ste 107
Hialeah, FL 33016-1895
Phone (786) 401-6115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1083187041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE STE 107",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161895",
            "telephone_number": "786-401-6115",
            "fax_number": "786-391-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE STE 107",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161895",
            "telephone_number": "786-401-6115",
            "fax_number": "786-391-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "ANDINO RIVERA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-300-9902",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.