MEDICARE: HEALTHY SPINE INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1598387953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY SPINE INSTITUTE

Provider Business Mailing Address
First Line	:	15426 NW 77TH CT
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5803
Country	:	US
Telephone Number	:	305-699-2227
Fax Number	:

Provider Business Practice Location Address
First Line	:	15426 NW 77TH CT
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5803
Country	:	US
Telephone Number	:	305-699-2227
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	RAMON REYES
Credential	:
Telephone Number	:	305-984-0640

Provider Enumeration Date	:	05/08/2020
Last Update Date	:	03/02/2026

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Directions to “HEALTHY SPINE INSTITUTE ” Practice Location

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