Active NPI
Jose Roberto Lopez Feliciano, D.C.
- Nutrition Chiropractor
- Doral, FL
National Provider Identifier
1356890545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 11862
- Practice address
- 7769 NW 48TH St
Suite 180
Doral, FL 33166-5457 - Phone
- (786) 801-3977
- NPI assigned
- Sep 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 11862 | FL | Primary |
Addresses
Primary practice location
7769 NW 48TH St
Suite 180
Doral, FL 33166-5457
Mailing address
7769 NW 48TH St
Suite 180
Doral, FL 33166-5457
Phone (786) 801-3977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11862 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475971200000",
"number": "1356890545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7769 NW 48TH ST",
"address_2": "SUITE 180",
"city": "DORAL",
"state": "FL",
"postal_code": "331665457",
"telephone_number": "786-801-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7769 NW 48TH ST",
"address_2": "SUITE 180",
"city": "DORAL",
"state": "FL",
"postal_code": "331665457",
"telephone_number": "786-801-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ FELICIANO",
"first_name": "JOSE ROBERTO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-28",
"last_updated": "2016-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "11862",
"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 9, 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.