Organization Active NPI

New Life Therapy Center Inc

  • Rehabilitation Chiropractor
  • Doral, FL
National Provider Identifier
1205136769
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
MM25735 Issued in FL
Legal business name
NEW LIFE THERAPY CENTER INC
Practice address
3900 NW 79TH Ave Ste 461
Doral, FL 33166-6599
Phone
(305) 718-8525
Fax
(305) 718-8595
NPI assigned
Oct 29, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Dr. Lazaro David Rodriguez, D.C.
Title
President/Owner
Phone
(305) 718-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X MM25735 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 461
Doral, FL 33166-6599

Mailing address

3900 NW 79TH Ave Ste 461
Doral, FL 33166-6599
Phone (305) 718-8525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1205136769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 461",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666599",
            "telephone_number": "305-718-8525",
            "fax_number": "305-718-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 461",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666599",
            "telephone_number": "305-718-8525",
            "fax_number": "305-718-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-718-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "MM25735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.