Organization Active NPI

Optimum Spine Chiropractic Center Inc

  • Chiropractor
  • Doral, FL
National Provider Identifier
1710523683
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMUM SPINE CHIROPRACTIC CENTER INC
Practice address
7500 NW 104TH Ave Ste B200
Doral, FL 33178-3373
Phone
(305) 204-2243
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Alex Osorio
Title
Doctor
Phone
(305) 874-9851

Specialties & licenses 1

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

Addresses

Primary practice location

7500 NW 104TH Ave Ste B200
Doral, FL 33178-3373

Mailing address

7500 NW 104TH Ave Ste B200
Doral, FL 33178-3373
Phone (305) 204-2243

National Provider Directory

National Provider Directory

Locations

7500 NW 104th Ave
Ste B200
Doral, FL 33178
Phone (305) 204-2243

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": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1710523683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 NW 104TH AVE STE B200",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783373",
            "telephone_number": "305-204-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 NW 104TH AVE STE B200",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783373",
            "telephone_number": "305-204-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM SPINE CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-874-9851"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Sep 16, 2020; 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.