Organization Active NPI

Reyna Chiropractic Center Inc

  • Chiropractor
  • Miami, FL
National Provider Identifier
1295944361
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7491 Issued in FL
Legal business name
REYNA CHIROPRACTIC CENTER INC
Practice address
10201 Hammocks Blvd
Suite 152
Miami, FL 33196-4712
Phone
(305) 388-5348
Fax
(305) 385-8557
NPI assigned
May 22, 2007
Organization subpart
Yes
Parent organization
REYNA CHIROPRACTIC CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Jose R Reyna, D.C.NPI 1346253473
Title
Owner
Phone
(305) 388-5348

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 CH7491 FL Primary

Addresses

Primary practice location

10201 Hammocks Blvd
Suite 152
Miami, FL 33196-4712

Mailing address

10201 Hammocks Blvd
Suite 152
Miami, FL 33196-4712
Phone (305) 388-5348

Other identifiers 1

IdentifierTypeStateIssuer
3814147032MedicaidFL

Other names 1

  • hammocks chiropractic center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000539 FL Part B Supplier - Clinic/Group Practice 7810892403 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Part of
Reyna Chiropractic Cent Inc

Locations

10201 Hammocks Blvd
Ste 152
Miami, FL 33196
Phone (305) 388-5348

Practitioners & affiliated clinicians

Practitioners 3

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1295944361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD",
            "address_2": "SUITE 152",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964712",
            "telephone_number": "305-388-5348",
            "fax_number": "305-385-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD",
            "address_2": "SUITE 152",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964712",
            "telephone_number": "305-388-5348",
            "fax_number": "305-385-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNA CHIROPRACTIC CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REYNA CHIROPRACTIC CENTER INC",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-388-5348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3814147032",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hammocks chiropractic center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.