Organization Active NPI

Cutler Ridge Family Chiropractic Center, Inc.

  • Chiropractor
  • Cutler Bay, FL
National Provider Identifier
1295009629
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006765 Issued in FL
Legal business name
CUTLER RIDGE FAMILY CHIROPRACTIC CENTER, INC.
Practice address
10700 Caribbean Blvd
Suite 206
Cutler Bay, FL 33189-1232
Phone
(305) 255-3005
Fax
(305) 255-7689
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Gerson Paul Diaz, D.C.
Title
President
Phone
(305) 255-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0006765 FL Primary

Addresses

Primary practice location

10700 Caribbean Blvd
Suite 206
Cutler Bay, FL 33189-1232

Mailing address

10700 Caribbean Blvd
Suite 206
Cutler Bay, FL 33189-1232
Phone (305) 255-3005

National Provider Directory

National Provider Directory

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": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1295009629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD",
            "address_2": "SUITE 206",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891232",
            "telephone_number": "305-255-3005",
            "fax_number": "305-255-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD",
            "address_2": "SUITE 206",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891232",
            "telephone_number": "305-255-3005",
            "fax_number": "305-255-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTLER RIDGE FAMILY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GERSON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-255-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.