Doral Spine & Wellness, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DORAL SPINE & WELLNESS, INC.

Practice address

8726 NW 26TH St Ste 16
Doral, FL 33172-1628

Phone

(305) 477-7976

Fax

(305) 629-9187

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Alejandro De la Fuente

Title

Vice President

Phone

(305) 477-7976

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1972126399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 NW 26TH ST STE 16",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721628",
            "telephone_number": "305-477-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 NW 26TH ST STE 16",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721628",
            "telephone_number": "305-477-7976",
            "fax_number": "305-629-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL SPINE & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "DE LA FUENTE",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-477-7976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.doralspine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8726 NW 26th St Ste 16",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331721628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Doral Physiotherapy, PLLC
• Doral Recovery Center, Inc
• Doral Rehab and Fitness Center Inc
• Doral Relief Medical Center
• Doral Spine & Wellness Inc
• Doral Surgical Services
• Doral Therapy Center, Corp
• Doral Therapy Clinic, Corp
• Doral Therapy Servces Inc
• Max Dorcius

• General Practice Physician in Doral, FL
• Providers in Doral, FL by specialty
• General Practice Physician in Florida

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