Larisa Dagne Bermejo, MA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9342 Issued in FL

Practice address

85 Grand Canal Dr Ste 310
Miami, FL 33144-2570

Phone

(305) 263-8228

Fax

(305) 263-8236

NPI assigned

Sep 23, 2009

Last updated

Sep 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Larisa Dagne Bermejo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1598099590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442570",
            "telephone_number": "305-263-8228",
            "fax_number": "305-263-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442570",
            "telephone_number": "305-263-8228",
            "fax_number": "305-263-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMEJO",
        "first_name": "LARISA",
        "middle_name": "DAGNE",
        "name_prefix": "Prof.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISA",
            "last_name": "BERMEJO",
            "middle_name": "DAGNE",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tali Yuz Berliner, PSY.D
• Jessica L Berman
• Mitchell Berman
• Paul Bermanski, MD
• Adriana Bermejo Garcia
• Rosanna Bermejo
• Claudia Bermeo Grajales, LMHC
• Erika Bermeo, OT
• Ivan Bermeosolo Dominguez
• Jean L Bermeosolo

• Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.