Coconut Grove Chiropractic, Inc
Organization Active NPI Chiropractor · Coconut Grove, FL
NPI 1962695387 · NPPES record last updated Aug 20, 2007
Key facts
- NPI
- 1962695387
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH7418 (FL)
- Legal business name
- COCONUT GROVE CHIROPRACTIC, INC
- Practice address
- 3151 SW 27TH Ave
Coconut Grove, FL 33133-4634 - Phone
- (305) 443-4636
- Fax
- (305) 442-4641
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Eduardo A. Martinez, D.C.
- Title
- P/V/T/S
- Phone
- (305) 443-4636
Practitioners 2
-
Eduardo A. Martinez, D.C.
-
Meagan Lee, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051121000334 | FL | Part B Supplier - Clinic/Group Practice | 7911926860 |
Receives reassigned benefits from 2 practitioners Practice locations: Miami, FL |
National Provider Directory
Locations
3400 Coral Way
Ste 101
Miami, FL 33145
Phone (305) 443-4636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH7418 | FL | Yes |
Addresses
Primary practice location
3151 SW 27TH Ave
Coconut Grove, FL 33133-4634
Mailing address
3151 SW 27TH Ave
Coconut Grove, FL 33133-4634
Phone (305) 443-4636
Other providers in Coconut Grove, FL
- Diana Castaneda
- Castillo Case Mgmts, Inc
- Cerver Pharmacy Corp.
- Cmap Interpretive Services, Florida, P.a.
- Coconut Grove Center Inc
- Coconut Grove Pharmacy, Inc
- Xiomara Contreras
- Raul A Cortes
- Odalys Cueto
- Ingrid D'Aquin
All providers in Coconut Grove, FL · Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.