Indian River Spine & Joint PLLC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

INDIAN RIVER SPINE & JOINT PLLC

Practice address

880 37TH PL Ste 105
Vero Beach, FL 32960-6506

Phone

(954) 663-6562

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Bernabe Perez

Title

Admin

Phone

(954) 663-6562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1831772318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11270 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264101",
            "telephone_number": "954-663-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 37TH PL STE 105",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606506",
            "telephone_number": "954-663-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER SPINE & JOINT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "BERNABE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "954-663-6562"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian River Podiatry, PA
• Indian River Primary Care
• Indian River Private Duty Nursing
• Indian River Radiology PA
• Indian River Rehabilitation Medicine Clinic P a
• Indian River Surgery Center LTD
• Indian River Surgery Center, LTD.
• Indian River Surgical Associates, LLC
• Indian River Surgical Service Corp.
• Indian River Urology Associates PA

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.