Active NPI
Mario Paguaga, MA
- Chiropractor
- Miami, FL
National Provider Identifier
1568697449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MA41398
- Practice address
- 434 SW 12TH Ave
103
Miami, FL 33130-2440 - Phone
- (305) 643-0117
- NPI assigned
- May 21, 2009
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MA41398 | FL | Primary |
Addresses
Primary practice location
434 SW 12TH Ave
103
Miami, FL 33130-2440
Mailing address
434 SW 12TH Ave
103
Miami, FL 33130-2440
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA41398 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1568697449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 SW 12TH AVE",
"address_2": "103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331302440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 SW 12TH AVE",
"address_2": "103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331302440",
"telephone_number": "305-643-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGUAGA",
"first_name": "MARIO",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "MA41398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.