Individual provider Active NPI

Laura Isabel Rubio Rodriguez, BS, DC

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1104629286
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15400 Issued in FL
Practice address
6740 Shadow Creek TRL Apt 5307
Melbourne, FL 32940-6292
Phone
(386) 278-2575
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15400 FL Primary

Addresses

Primary practice location

6740 Shadow Creek TRL Apt 5307
Melbourne, FL 32940-6292

Mailing address

6740 Shadow Creek TRL Apt 5307
Melbourne, FL 32940-6292
Phone (386) 278-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
15400FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1104629286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 SHADOW CREEK TRL APT 5307",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406292",
            "telephone_number": "386-278-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 SHADOW CREEK TRL APT 5307",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406292",
            "telephone_number": "386-278-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO RODRIGUEZ",
        "first_name": "LAURA",
        "middle_name": "ISABEL",
        "credential": "BS, DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.