Isava Enterprise Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ISAVA ENTERPRISE INC

Practice address

1210 E Osceola Pkwy Ste 302
Kissimmee, FL 34744-1621

Phone

(407) 807-0101

Fax

(407) 807-0008

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Joel Martinez Rivera, DCNPI 1205348216

Title

Vice President

Phone

(386) 801-4184

Specialties & licenses 1

Addresses

Other names 1

• Ideal Spine Wellness & Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Antonio Martinez Rivera, DC

  • Chiropractor
  • Kissimmee, FL
  • NPI 1205348216
  Medicare reassignment NPD Authorized official
• Iliana Marie Burgos Rodriguez I, DC

  • Chiropractor
  • Kissimmee, FL
  • NPI 1861150294
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1750125340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E OSCEOLA PKWY STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441621",
            "telephone_number": "407-807-0101",
            "fax_number": "407-807-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E OSCEOLA PKWY STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441621",
            "telephone_number": "407-807-0101",
            "fax_number": "407-807-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAVA ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ RIVERA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "386-801-4184",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Spine Wellness & Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlyn Marie Irizarry, M.ED.
• Edna Morales Irizarry
• Jonathan O Irizarry
• Jocelyn Isaac, PTA
• Michelle Isaac, MA ED.
• Marisel Iser Gonzalez
• Nicholas Arnold Ishak
• Ruby N. Isidro, PHYSICAL THERAPIST
• Fady Iskander
• M. Siraj Ul Islam, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.