Organization Active NPI

Iuvenesco, P.C.

  • Chiropractor
  • Tubac, AZ
National Provider Identifier
1215101506
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7182 Issued in AZ
Legal business name
IUVENESCO, P.C.
Practice address
17 Calle Baca
Tubac, AZ 85646
Phone
(520) 398-2773
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Fernando A Felix, D.C.NPI 1487836268
Title
President/Ceo
Phone
(520) 398-2773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7182 AZ Primary

Addresses

Primary practice location

17 Calle Baca
Tubac, AZ 85646

Mailing address

PO Box 4197
Tubac, AZ 85646-4197
Phone (520) 398-2773

Other names 1

  • Holistic Haven Doing business as

National Provider Directory

National Provider Directory

Locations

75 W Calle de las Tiendas
Ste 117B
Green Valley, AZ 85614
Phone (520) 260-4397

621 N Grand Ave
Ste 2
Nogales, AZ 85621
Phone (520) 287-4718

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1215101506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4197",
            "city": "TUBAC",
            "state": "AZ",
            "postal_code": "856464197",
            "telephone_number": "520-398-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE BACA",
            "city": "TUBAC",
            "state": "AZ",
            "postal_code": "85646",
            "telephone_number": "520-398-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IUVENESCO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "520-398-2773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tubac, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.