Healthcare Provider Details

I. General information

NPI: 1376733485
Provider Name (Legal Business Name): RUGGIANO CHIROPRACTIC HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1793 SW 3RD AVE
MIAMI FL
33129-1492
US

IV. Provider business mailing address

1793 SW 3RD AVE
MIAMI FL
33129-1492
US

V. Phone/Fax

Practice location:
  • Phone: 305-858-5880
  • Fax: 305-858-5877
Mailing address:
  • Phone: 305-858-5880
  • Fax: 305-858-5877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH6420
License Number StateFL

VIII. Authorized Official

Name: DR. PAUL JOSEPH RUGGIANO
Title or Position: PRESIDENT
Credential: D.C.
Phone: 305-858-5880