Healthcare Provider Details

I. General information

NPI: 1679640916
Provider Name (Legal Business Name): ALEJANDRO DURAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 E 49TH ST
HIALEAH FL
33013-1904
US

IV. Provider business mailing address

9350 SW 147TH ST
MIAMI FL
33176-7916
US

V. Phone/Fax

Practice location:
  • Phone: 305-534-0076
  • Fax: 855-355-8109
Mailing address:
  • Phone: 786-369-1160
  • Fax: 786-369-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8683
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: