Healthcare Provider Details

I. General information

NPI: 1780904375
Provider Name (Legal Business Name): CMA CHIROPRACTIC CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 06/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 65TH ST
HIALEAH FL
33012-6640
US

IV. Provider business mailing address

400 W 65TH ST
HIALEAH FL
33012-6640
US

V. Phone/Fax

Practice location:
  • Phone: 305-827-0434
  • Fax: 305-827-0534
Mailing address:
  • Phone: 305-827-0434
  • Fax: 305-827-0534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA CAROLINA RIVAS
Title or Position: MGMR
Credential: DC
Phone: 305-827-0434