Organization Active NPI

Good Samaritan Rehab Center

  • Chiropractor
  • North Miami, FL
National Provider Identifier
1154788396
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9890 Issued in FL
Legal business name
GOOD SAMARITAN REHAB CENTER
Practice address
822 NE 125TH St Ste 100
North Miami, FL 33161-5729
Phone
(786) 238-7313
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Carlos Carrazana, D.C.
Title
President
Phone
(786) 877-6923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 9890 FL Primary

Addresses

Primary practice location

822 NE 125TH St Ste 100
North Miami, FL 33161-5729

Mailing address

822 NE 125TH St Ste 100
North Miami, FL 33161-5729
Phone (786) 238-7313

National Provider Directory

National Provider Directory

Locations

822 NE 125th St
Ste 100
North Miami, FL 33161
Phone (786) 238-7313

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1154788396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 NE 125TH ST STE 100",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615729",
            "telephone_number": "786-238-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 NE 125TH ST STE 100",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615729",
            "telephone_number": "786-238-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "CARRAZANA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-877-6923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.