Organization Active NPI

Pelayo Medical Center Inc

  • Chiropractor
  • Miami, FL
National Provider Identifier
1811038458
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PELAYO MEDICAL CENTER INC
Practice address
1500 SW 27TH Ave
Miami, FL 33145-2043
Phone
(305) 448-1500
Fax
(305) 448-8681
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Mrs. Mireya Manzano
Title
Administrator
Phone
(305) 448-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1500 SW 27TH Ave
Miami, FL 33145-2043

Mailing address

1500 SW 27TH Ave
Miami, FL 33145-2043
Phone (305) 448-1500

Other identifiers 1

IdentifierTypeStateIssuer
380201900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1500 SW 27th Ave
Miami, FL 33145
Phone (305) 448-1500

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1811038458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452043",
            "telephone_number": "305-448-1500",
            "fax_number": "305-448-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452043",
            "telephone_number": "305-448-1500",
            "fax_number": "305-448-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELAYO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "MIREYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-448-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380201900",
            "state": "FL"
        }
    ],
    "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 Sep 10, 2008; 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.